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DSH110024E CANDLER HOSPITAL (Active)
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Main Details
Name
CANDLER HOSPITAL
Subdivision Name
Center for Infusion Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110024E
Medicare Provider Number
110024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/9/2016
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Candler Hospital
PAUL P. HINCHEY, CEO
(912) 819-6901
Primary Contact
St. Joseph's/Candler
Tommy Harvey, Business Manager Pharmacy
(912) 819-8155
Addresses
Street Address
5356 Reynolds Street
Suite 300
Savannah, GA 31405
Billing Address
5353 Reynolds Street
Candler Hospital Inc.
Savannah, GA 31405
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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