340B Drug Pricing Program Database
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DSH420051J MCLEOD REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
MCLEOD REGIONAL MEDICAL CENTER
Subdivision Name
McLeod Family Medicine Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH420051J
Medicare Provider Number
420051
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/29/2014
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
McLeod Health
Christian Soura, Chief Financial Officer
(843) 777-5492
Primary Contact
McLeod Health
Hattie K. Hyman, PharmD, Pharmacy 340B Manager
(843) 777-5019
Addresses
Street Address
144 North Ravenel Street
Florence, SC 29506-2641
Billing Address
McLeod Regional Medical Center
555 East Cheves Street
Florence, SC 29506
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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