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DSH110115 WellStar ATLANTA MEDICAL CENTER (Terminated)
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Main Details
Name
WellStar ATLANTA MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110115
Medicare Provider Number
110115
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/7/2017
Last Recertification Date
8/30/2022
Termination Date
Termination Reason
10/1/2022
Other
Contacts
Authorizing Official
Wellstar Atlanta Medical Center
Thomas M Morris, Chief Operating Officer
(770) 853-9009
Primary Contact
Wellstar Atlanta Medical Center
Valerie Bandy, Director of Pharmacy
(470) 533-9100
Addresses
Street Address
303 PARKWAY DRIVE
ATLANTA, GA 30312
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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