340B Drug Pricing Program Database
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CAH111328-00 Phoebe Worth Medical Center (Active)
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Main Details
Name
Phoebe Worth Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH111328-00
Medicare Provider Number
111328
Additional Details
Current Program Status
Active
Registration Date
8/8/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/11/2011
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
PHOEBE WORTH MEDICAL CENTER, INC
Candace Guarnieri, VP of Finance
(229) 777-3851
Primary Contact
Phoebe Worth Medical Center
Ben Hudson, Pharmacy Manager
(229) 777-3875
Addresses
Street Address
807 South Isabella Street
Sylvester, GA 31791-0545
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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