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DSH420070A PRISMA HEALTH TUOMEY HOSPITAL (Active)
Main Details
Name
PRISMA HEALTH TUOMEY HOSPITAL
Subdivision Name
Sumter Spine and Pain Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420070A
Medicare Provider Number
420070
Outpatient Facility Provider Number
Contacts
Authorizing Official
Prisma Health Baptist
Michael Bundy, Chief Executive Officer
(803) 296-5782
Primary Contact
Prisma Health
Abigail Bouknight, Manager 340B
(803) 920-3041
Additional Details
Current Program Status
Active
Registration Date
10/12/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/4/2015
Last Recertification Date
9/11/2023
Addresses
Street Address
100 North Sumter Street
Suite 320
Sumter, SC 29150
Billing Address
Prisma Health Tuomey Hospital
PO Box 602161
Charlotte, NC 28260-2161
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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