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SCH250036-02 GEORGE COUNTY HOSPITAL (Active)
Main Details
Name
GEORGE COUNTY HOSPITAL
Subdivision Name
WIGGINS PRIMARY CARE
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH250036-02
Medicare Provider Number
250036
Outpatient Facility Provider Number
258527
Contacts
Authorizing Official
George Regional Health System
GREG HAVARD, CHIEF EXECUTIVE OFFICER
(601) 947-9148
Primary Contact
George County Hospital
Carman Walley, DOP
(601) 673-6181
Additional Details
Current Program Status
Active
Registration Date
4/20/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/15/2011
Last Recertification Date
8/16/2023
Addresses
Street Address
975 HALL STREET
WIGGINS, MS 39577
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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