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DSH110018A PIEDMONT NEWTON HOSPITAL (Terminated)
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Main Details
Name
PIEDMONT NEWTON HOSPITAL
Subdivision Name
MRI Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110018A
Medicare Provider Number
110018
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/7/2013
Last Recertification Date
9/1/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Piedmont Healthcare Multiple Hospital Entities
John G. Miles, Vice President / CFO
(770) 400-2336
Primary Contact
Piedmont Newton Hospital
TROY B. BROOKS, CFO
(770) 385-4426
Addresses
Street Address
5207 Hwy 278
Covington, GA 30014
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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