340B Drug Pricing Program Database
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CAH251335-00 Kemper CAH, Inc d/b/a John C. Stennis Memorial Hospital (Active)
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Main Details
Name
Kemper CAH, Inc d/b/a John C. Stennis Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251335-00
Medicare Provider Number
251335
Additional Details
Current Program Status
Active
Registration Date
8/7/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/23/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Ochsner Rush Health
David Butler, Chief Financial Officer
(601) 703-3082
Primary Contact
Kemper, Inc.- d.b.a. John C. Stennis Memorial Hospital
Willis Kilpatrick, Director of Pharmacy
(769) 486-1055
Addresses
Street Address
14365 Hwy 16 West
DeKalb, MS 39328
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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