340B Drug Pricing Program Database
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DSH010092S DCH REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
DCH REGIONAL MEDICAL CENTER
Subdivision Name
DCH Home Care Agency
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010092S
Medicare Provider Number
010092
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/28/2016
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
DCH Regional Medical Center
Mallary Marie Myers, COO/SVP
(205) 759-7147
Primary Contact
DCH Regional Medical Center
Rosanne Austin Thurman, Corporate Director, Pharmacy
(205) 759-7944
Addresses
Street Address
1401 Greensboro Avenue
Tuscaloosa, AL 35401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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