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DSH110064Q THE MEDICAL CENTER, INC. dba Piedmont Columbus Regional Midtown (Active)
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Main Details
Name
THE MEDICAL CENTER, INC. dba Piedmont Columbus Regional Midtown
Subdivision Name
Outpatient Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110064Q
Medicare Provider Number
110064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/9/2016
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Piedmont Columbus Regional
M. Scott Hill, CEO
(706) 660-6103
Primary Contact
Piedmont Columbus Regional
Ryan R Crossman, Director of Pharmacy
(706) 571-1503
Addresses
Street Address
1831 5th Avenue
Columbus, GA 31904
Billing Address
Piedmont Columbus Regional Midtown
710 Center Street
Columbus, GA 31901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
May 2025
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