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DSH250040N SINGING RIVER HEALTH SYSTEM (Terminated)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
Hospice of Light
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250040N
Medicare Provider Number
250040
Outpatient Facility Provider Number
251518
Additional Details
Current Program Status
Terminated
Registration Date
12/29/2011
Participating Start Date
3/15/2022
Participating Approval Date
3/28/2012
Last Recertification Date
9/11/2023
Termination Date
Termination Reason
7/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191
Primary Contact
Singing River Health System
Lisa D Fratesi, Executive Director of Pharmacy
(662) 347-0066
Addresses
Street Address
1121 Ocean Springs Rd.
Ocean Springs, MS 39564
Billing Address
Singing River Health System
3109 Bienville Blvd
Ocean Spring Hospital, MS 39564
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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