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SCH110025-00 SOUTHEAST GEORGIA REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
SOUTHEAST GEORGIA REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
Rural
No
340B ID
SCH110025-00
Medicare Provider Number
110025
Additional Details
Current Program Status
Active
Registration Date
10/2/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/24/2015
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Southeast Georgia Health System
Eric Jolly, Vice President of Finance
(912) 466-3303
Primary Contact
Southeast Georgia Regional Medical Center
Jennifer Rogers Lewis, Pharmacy Manager
(912) 466-2804
Addresses
Street Address
2415 PARKWOOD DRIVE
BRUNSWICK, GA 31520
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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