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DSH110064E THE MEDICAL CENTER, INC. dba Piedmont Columbus Regional Midtown (Active)
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Main Details
Name
THE MEDICAL CENTER, INC. dba Piedmont Columbus Regional Midtown
Subdivision Name
Wound Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110064E
Medicare Provider Number
110064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/29/2012
Participating Start Date
10/1/2015
Participating Approval Date
8/21/2012
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Piedmont Columbus Regional
M. Scott Hill, CEO
(706) 660-6103
Primary Contact
Piedmont Columbus Regional
Ryan R Crossman, Director of Pharmacy
(706) 571-1503
Addresses
Street Address
616 19th Street Suite 300
Columbus, GA 31901
Billing Address
Piedmont Columbus Regional Midtown
710 Center Street
Columbus, GA 31901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/11/15 participating 10/1/12 until terminated 1/1/15, reinstated effective 10/1/15
09/11/2015
11/7/2014 This child site is now located within the 4 walls of the parent entity. This action is to terminate as a "child site" on the OPA entity database due to its location now being within the 4 walls.; 03/31/2014: Termination recorded in error; site remained continuously eligible from participation start date.
07/15/2015
03/31/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
May 2025
May 2025
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