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DSH250040AH SINGING RIVER HEALTH SYSTEM (Terminated)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
SRH Medical Park / Nuc Med Radiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250040AH
Medicare Provider Number
250040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2015
Participating Start Date
3/15/2022
Participating Approval Date
7/29/2015
Last Recertification Date
9/8/2023
Termination Date
Termination Reason
7/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191
Primary Contact
Singing River Health System
Lisa D Fratesi, Executive Director of Pharmacy
(662) 347-0066
Addresses
Street Address
3101 Denny Ave
Pascagoula, MS 39581
Billing Address
Singing River Hospital
2809 Denny Ave
Pascagoula, MS 39581
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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