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CAH111334-00 Candler County Hospital (Active)
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Main Details
Name
Candler County Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH111334-00
Medicare Provider Number
111334
Additional Details
Current Program Status
Active
Registration Date
5/31/2012
Participating Start Date
4/1/2014
Participating Approval Date
6/19/2012
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Candler County Hospital
Will William Bennett, CFO
(912) 685-1769
Primary Contact
Candler County Hospital
Amber Marsh, PC
(912) 685-1228
Addresses
Street Address
400 Cedar Street
Metter, GA 30439
Billing Address
Candler County Hospital
PO Box 597
Metter, GA 30439
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/13/14- CE reinstated starting 04/01/14, was participating 07/01/12 to 09/30/2013, not participating 10/1/2013 to 03/31/2014 due to failure to recertify;
03/13/2014
April 2025
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