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CAH111325-00 WILLS MEMORIAL HOSPITAL (Active)
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Main Details
Name
WILLS MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH111325-00
Medicare Provider Number
111325
Additional Details
Current Program Status
Active
Registration Date
7/8/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/18/2014
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Wills Memorial Hospital
Tracie P. Haughey, CEO
(706) 678-9212
Primary Contact
Wills Memorial Hospital
Jessica Quattlebaum, Business Office Manager
(706) 678-9292
Addresses
Street Address
120 GORDON STREET
WASHINGTON, GA 30673
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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