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DSH110024B CANDLER HOSPITAL (Active)
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Main Details
Name
CANDLER HOSPITAL
Subdivision Name
SJC South Carolina Cancer Specialists
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110024B
Medicare Provider Number
110024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/25/2013
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Candler Hospital
PAUL P. HINCHEY, CEO
(912) 819-6901
Primary Contact
St. Joseph's/Candler
Tommy Harvey, Business Manager Pharmacy
(912) 819-8155
Addresses
Street Address
45 Hospital Center Commons
Hilton Head Island, SC 29926
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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