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SCH420053-00 NEWBERRY COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
NEWBERRY COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH420053-00
Medicare Provider Number
420053
Additional Details
Current Program Status
Active
Registration Date
7/1/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/1/2011
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Newberry County Memorial Hospital
Meg Todd Davis, Chief Nursing Officer
(803) 405-7469
Primary Contact
Newberry County Memorial Hospital
Valerie Leaphart, DIRECTOR OF PHARMACY
(803) 405-7175
Addresses
Street Address
2669 KINARD ST
NEWBERRY, SC 29108
Billing Address
Newberry County Memorial Hospital
PO BOX 497
2669 Kinard street
Newberry, SC 29108
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/1/11 FORMERLY DSH420053 PARTICIPATING 10/1/07-6/30/11, WET INK SIG 8/5/11 BY MIKE REYNOLDS
06/06/2012
April 2025
April 2025
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