340B Drug Pricing Program Database

Name

SINGING RIVER HEALTH SYSTEM

Subdivision Name

Neuroscience Center

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH250040AJ

Medicare Provider Number

250040

Outpatient Facility Provider Number

Current Program Status

Terminated

Registration Date

1/15/2016

Participating Start Date

4/1/2016

Participating Approval Date

2/19/2016

Last Recertification Date

9/7/2016

Termination Date
Termination Reason

10/1/2017
Site closure

Authorizing Official

Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191

Primary Contact

Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191

Street Address

57 DEWEY ST
THE NEUROSCIENCE CENTER
LUCEDALE, MS 39452-5707

Billing Address

Singing River Hospital
2809 Denny Avenue
Pascagoula, MS 39581