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DSH420015 Prisma Health BAPTIST EASLEY HOSPITAL (Terminated)
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Main Details
Name
Prisma Health BAPTIST EASLEY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420015
Medicare Provider Number
420015
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/5/2016
Last Recertification Date
9/12/2022
Termination Date
Termination Reason
4/1/2023
DSH percentage below statutory minimum
Contacts
Authorizing Official
Prisma Health Baptist Easley Hospital
Todd Warren Walker, Chief Executive Officer
(864) 442-7606
Primary Contact
Prisma Health Baptist Easley
Lloyd Sarbacker, Dir of Pharmacy
(864) 404-8886
Addresses
Street Address
200 FLEETWOOD DRIVE
EASLEY, SC 29641
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/5/16 Participation start date 4/1//2011, Termination date 7/1/2012, Reinstated 1/1/2017.
10/05/2016
April 2025
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