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DSH110023A AdventHealth Gordon (Terminated)
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Main Details
Name
AdventHealth Gordon
Subdivision Name
AdventHealth Infusion Center Calhoun and AdventHealth Medical Group Hematology Oncology at Calhoun
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110023A
Medicare Provider Number
110023
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/5/2015
Last Recertification Date
9/8/2020
Termination Date
Termination Reason
10/1/2021
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Adventist Health System Georgia DBA Gordon Hospital
Alan Guyton, Regional CFO
(706) 879-4710
Primary Contact
AdventHealth Hendersonville
Jessica Roselli, 340B Coordinator
(828) 681-2168
Addresses
Street Address
1035 Red Bud Rd
Suite 100
Calhoun, GA 30701
Billing Address
AdventHealth Gordon
c/o AdventHealth
902 Inspiration Ave
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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