340B Drug Pricing Program Database
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SCH420038-00 Prisma Health Laurens County Hospital (Active)
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Main Details
Name
Prisma Health Laurens County Hospital
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH420038-00
Medicare Provider Number
420038
Additional Details
Current Program Status
Active
Registration Date
7/8/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/11/2015
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Prisma Health Laurens County Hospital
Justin Matthew Benfield, Chief Operations Executive
(864) 933-9150
Primary Contact
Prisma Health
Abigail Bouknight, Manager 340B
(803) 920-3041
Addresses
Street Address
22725 HIGHWAY 76 EAST
CLINTON, SC 29325
Billing Address
Prisma Health
PO Box 402121
Atlanta, GA 30384-2121
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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