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CAH111306-00 EFFINGHAM HEALTH SYSTEM (Active)
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Main Details
Name
EFFINGHAM HEALTH SYSTEM
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH111306-00
Medicare Provider Number
111306
Additional Details
Current Program Status
Active
Registration Date
11/29/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/30/2010
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
CAH111306-00
Fran Baker-Witt, CEO
(912) 754-3822
Primary Contact
Effingham Health System
Earnest Powell, Pharmacy Director
(912) 754-0422
Addresses
Street Address
459 HIGHWAY 119 SOUTH
SPRINGFIELD, GA 31329-3021
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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