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CAH421301-03 ABBEVILLE COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
ABBEVILLE COUNTY MEMORIAL HOSPITAL
Subdivision Name
ABBEVILLE COUNTY MEMORIAL HOSPITAL-Due West Family Medicine Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH421301-03
Medicare Provider Number
421301
Outpatient Facility Provider Number
423453
Additional Details
Current Program Status
Active
Registration Date
4/11/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/3/2017
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Abbeville Area Medical Center
Kelly McCurry, Director of Finance
(864) 366-3310
Primary Contact
Abbeville Area Medical Center
Brett Fowler, Staff Pharmacist
(864) 366-1433
Addresses
Street Address
6 COLLEGE ST #638
DUE WEST, SC 29639-9554
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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