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SCH250020-00 WEBSTER HEALTH SERVICES (Terminated)
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Main Details
Name
WEBSTER HEALTH SERVICES
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH250020-00
Medicare Provider Number
250020
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2021
Participating Start Date
7/1/2021
Participating Approval Date
5/6/2021
Last Recertification Date
9/9/2021
Termination Date
Termination Reason
4/1/2022
DSH percentage below statutory minimum
Contacts
Authorizing Official
North Mississippi Medical Center
BRUCE J. TOPPIN, GENERAL COUNSEL, PRIVACY OFFICER & COPORATE SECRETARY
(662) 377-4229
Primary Contact
North Mississippi Medical Center
Patti Hawkins, Director
(662) 377-4731
Addresses
Street Address
70 MEDICAL PLAZA
EUPORA, MS 39744
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2016, terminated 4/1/2020. Reinstated 7/1/2021.
05/06/2021
April 2025
April 2025
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