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CAH421304-00 Edgefield County Healthcare (Active)
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Main Details
Name
Edgefield County Healthcare
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH421304-00
Medicare Provider Number
421304
Additional Details
Current Program Status
Active
Registration Date
5/31/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Edgefield County Healthcare
Will Gordon, CAO
(864) 992-2642
Primary Contact
Edgefield County Healthcare
Lauren Rainsford Whitfield, Pharmacy Operations Manager
(864) 725-1533
Addresses
Street Address
300 Ridge Medical Plaza
Edgefield, SC 29824
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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