340B Drug Pricing Program Database
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DSH420068B THE REGIONAL MEDICAL CENTER (TRMC) (Terminated)
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Main Details
Name
THE REGIONAL MEDICAL CENTER (TRMC)
Subdivision Name
Express Health Care (Santee)
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH420068B
Medicare Provider Number
420068
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/24/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/17/2012
Last Recertification Date
9/11/2020
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Regional Medical Center
Amy Joelle Crouch, CFO
(803) 395-2033
Primary Contact
The Regional Medical Center of Orangeburg & Calhoun Counties
Ann Marie Ittenbach, Interim Director of Pharmacy
(803) 395-2626
Addresses
Street Address
111 John Lawson Ave
Santee, SC 29142
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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