340B Drug Pricing Program Database
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DSH110107N Atrium Health Navicent The Medical Center (Active)
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Main Details
Name
Atrium Health Navicent The Medical Center
Subdivision Name
Atrium Health Navicent Imaging & Laboratory
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110107N
Medicare Provider Number
110107
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/7/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/17/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Atrium Health Navicent
Kimberly Shrewsbury, SVP and CFO
(205) 965-7895
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
1650 Hardeman Avenue
Macon, GA 31201
Billing Address
Medical Center of Central Georgia
777 Hemlock Street
MSC #113
Macon, GA 31201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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