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DSH010092E DCH REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
DCH REGIONAL MEDICAL CENTER
Subdivision Name
Fayette Cancer Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010092E
Medicare Provider Number
010092
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/30/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/31/2012
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
DCH Regional Medical Center
Mallary Marie Myers, COO/SVP
(205) 759-7147
Primary Contact
DCH Regional Medical Center
Rosanne Austin Thurman, Corporate Director, Pharmacy
(205) 759-7944
Addresses
Street Address
1653 Temple Avenue North
Fayette, AL 35555
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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