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SCH110002-00 Upson County Hospital, Inc. (Active)
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Main Details
Name
Upson County Hospital, Inc.
Subdivision Name
DBA Upson Regional Medical Center
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH110002-00
Medicare Provider Number
110002
Additional Details
Current Program Status
Active
Registration Date
7/2/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/11/2013
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Upson Regional Medical Center
John H Williams, CFO/COO
(706) 647-8111 Ext: 1117
Primary Contact
Upson Regional Medical Center
Joyce H Glisson, Pharmacist
(706) 647-8111 Ext: 1157
Addresses
Street Address
801 West Gordon Street
Thomaston, GA 30286
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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