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DSH110064P THE MEDICAL CENTER, INC. (Terminated)
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Main Details
Name
THE MEDICAL CENTER, INC.
Subdivision Name
Peds Hem/Onc Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110064P
Medicare Provider Number
110064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/12/2013
Last Recertification Date
8/24/2015
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
Piedmont Columbus Regional
M. Scott Hill, CEO
(706) 660-6103
Primary Contact
The Medical Center, Inc.
Debbie Nowlin, Director Of Pharmacy
(706) 571-1495
Addresses
Street Address
705 17th Street, Suite 106
Columbus, GA 31901
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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