340B Drug Pricing Program Database
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DSH110044A PHOEBE SUMTER MEDICAL CENTER (Active)
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Main Details
Name
PHOEBE SUMTER MEDICAL CENTER
Subdivision Name
Oncology Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH110044A
Medicare Provider Number
110044
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/28/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/14/2012
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Phoebe Sumter Medical Center, Inc
Michelle H Doggett, VP Controller, PSMC
(229) 931-1288
Primary Contact
Phoebe Sumter Medical Center, Inc.
Darryl Lane Hawkins, Manager, Pharmacy
(229) 931-1209
Addresses
Street Address
120 Hwy 280 W
Americus, GA 31719
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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