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RRC440002-00 Jackson-Madison County General Hospital District dba Jackson-Madison County General Hospital (Terminated)
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Main Details
Name
Jackson-Madison County General Hospital District dba Jackson-Madison County General Hospital
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC440002-00
Medicare Provider Number
440002
Additional Details
Current Program Status
Terminated
Registration Date
1/30/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/16/2018
Last Recertification Date
9/7/2018
Termination Date
Termination Reason
3/31/2019
Other
Contacts
Authorizing Official
West Tennessee Healthcare
Jeff Blankenship, CFO
(731) 541-6739
Primary Contact
West Tn Healthcare
Sherry Osborne, Executive Director of Pharmacy
(731) 541-6229
Addresses
Street Address
620 Skyline Drive
Jackson, TN 38301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2013, terminated 4/1/2016. Reinstated 4/1/2018.
02/16/2018
June 2025
June 2025
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