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SCH010102-00 JOHN PAUL JONES HOSPITAL (Active)
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Main Details
Name
JOHN PAUL JONES HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH010102-00
Medicare Provider Number
010102
Additional Details
Current Program Status
Active
Registration Date
10/10/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/12/2018
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
J Paul Jones Hospital
Jessica Cole McGraw, CEO/Administrator
(334) 682-4131
Primary Contact
J Paul Jones Hospital
Sheila N Roe, Director of Nursing Service
(334) 682-4131
Addresses
Street Address
317 MCWILLIAMS AVENUE
CAMDEN, AL 36726-1610
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial start 1/1/2013, Termination date 10/1/2014, Reinstate 1/1/2019
10/10/2018
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