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CAH251323-03 SCOTT REGIONAL HOSPITAL (Active)
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Main Details
Name
SCOTT REGIONAL HOSPITAL
Subdivision Name
RHC Clark Med Clinic SRHC HW33 - RUSH CMCC FAMILY MEDICINE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251323-03
Medicare Provider Number
251323
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/10/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/15/2014
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Ochsner Rush Health
David Butler, Chief Financial Officer
(601) 703-3082
Primary Contact
Scott Regional
Gera Bynum, Director of Pharmacy
(601) 732-6301
Addresses
Street Address
321 HIGHWAY 13 SOUTH
MORTON, MS 39117
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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