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DSH250078E FORREST GENERAL HOSPITAL (Active)
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Main Details
Name
FORREST GENERAL HOSPITAL
Subdivision Name
Orthopedic Institute - Anesthesiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH250078E
Medicare Provider Number
250078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/11/2014
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Forrest General Hospital
Ben Hester, CFO
(601) 288-4225
Primary Contact
Forrest General Hospital
Teresa Rowley McDaniel, Director of Pharmacy
(601) 288-1485
Addresses
Street Address
27 Southern Point Parkway
Hattiesburg, MS 39402
Billing Address
Forrest General Hospital - Orthopedic Institute
6051 U.S. Highway 49
Hattiesburg, MS 39401-7243
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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