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CAH111320-01 HIGGINS GENERAL HOSPITAL (Active)
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Main Details
Name
HIGGINS GENERAL HOSPITAL
Subdivision Name
Buchanan Medical Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH111320-01
Medicare Provider Number
111320
Outpatient Facility Provider Number
118549
Additional Details
Current Program Status
Active
Registration Date
1/11/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/12/2016
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Tanner Health System
Carol S. Crews, CFO
(770) 812-9745
Primary Contact
Tanner Health System
Emily Renee Allen, 340B Program Manager
(770) 812-8371
Addresses
Street Address
2908 US Highway 27
Buchanan, GA 30113
Billing Address
Buchanan Family Healthcare
ATTN: ACCOUNTS PAYABLE
100 Greenway Blvd
Suite A
Carrollton, GA 30117
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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