340B Drug Pricing Program Database
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DSH110107Q 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 Children's Care Pediatric Hematology Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110107Q
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
770 Pine Street
Suite 520-A
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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