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CAH251304-00 TALLAHATCHIE GENERAL HOSPITAL (Active)
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Main Details
Name
TALLAHATCHIE GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251304-00
Medicare Provider Number
251304
Additional Details
Current Program Status
Active
Registration Date
11/24/2010
Participating Start Date
4/1/2011
Participating Approval Date
1/21/2011
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Tallahatchie General Hospital
James D. Blackwood, CEO
(662) 625-5535
Primary Contact
Tallahatchie General Hospital
Stephanie Sinquefield, Director of Pharmacy
(662) 625-7194
Addresses
Street Address
141 Dr. T.T. Lewis Circle
CHARLESTON, MS 38921
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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