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DSH010078 NORTHEAST ALABAMA REGIONAL MED CTR (Active)
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Main Details
Name
NORTHEAST ALABAMA REGIONAL MED CTR
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010078
Medicare Provider Number
010078
Additional Details
Current Program Status
Active
Registration Date
10/8/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/9/2015
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
The Health Care Authority of the City of Anniston
Kimberly Campbell, AVP - Finance
(256) 235-5041
Primary Contact
Northeast Alabama Regional Medical Center
Patricia Cobb, 340B/Revenue Integrity Manager
(256) 235-5229
Addresses
Street Address
400 EAST TENTH STREET
ANNISTON, AL 36207
Billing Address
NORTHEAST ALABAMA REGIONAL MED CTR
PO BOX 2208
ANNISTON, AL 36202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/9/15 Participated starting 7/1/2007, terminated 1/1/2015 due to DSH percentage below statutory minimum, reinstated based on new registration submitted in October 2015
11/09/2015
11/23/09-DOC RECD TO CONFIRM ELIG DSH ADJ %
11/24/2009
April 2025
April 2025
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