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DSH010092P DCH REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
DCH REGIONAL MEDICAL CENTER
Subdivision Name
Recovery/PACU
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010092P
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
2700 Hospital Drive
Northport, AL 35476
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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