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DSH250040M SINGING RIVER HEALTH SYSTEM (Terminated)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
The Neuroscience Center Pascagoula
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250040M
Medicare Provider Number
250040
Outpatient Facility Provider Number
250040
Additional Details
Current Program Status
Terminated
Registration Date
12/29/2011
Participating Start Date
4/1/2012
Participating Approval Date
3/27/2012
Last Recertification Date
9/7/2016
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191
Primary Contact
Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191
Addresses
Street Address
3101 Denny Avenue, suite 210
Pascagoula, MS 39581
Billing Address
Singing River Health System
2809 Denny Ave
Pascagoula, MS 39581
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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