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DSH110064N THE MEDICAL CENTER, INC. (Terminated)
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Main Details
Name
THE MEDICAL CENTER, INC.
Subdivision Name
Physical Therapy/Occupational Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110064N
Medicare Provider Number
110064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/8/2013
Last Recertification Date
8/28/2014
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Piedmont Columbus Regional
M. Scott Hill, CEO
(706) 660-6103
Primary Contact
Debbie Nowlin, Associate Director of Pharmacy
(706) 571-1495
Addresses
Street Address
2200 Hamilton Road, Suite 3
Columbus, GA 31904
Billing Address
The Medical Center, Inc.
710 Center Street
Columbus, GA 31901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/31/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
May 2025
May 2025
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