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DSH010051 GREENE COUNTY HOSPITAL (Active)
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Main Details
Name
GREENE COUNTY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH010051
Medicare Provider Number
010051
Additional Details
Current Program Status
Active
Registration Date
7/3/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/12/2017
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Greene County Hospital
Marcia Pugh, CEO
(205) 372-3388 Ext: 211
Primary Contact
Greene County Hospital
Stephanie Phifer, Administrative Assistant
(205) 372-3388 Ext: 212
Addresses
Street Address
509 WILSON AVENUE
EUTAW, AL 35462
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/12/17 Initial start date 10/1/2006, Termination date 10/1/2013, reinstate 10/1/2017
07/12/2017
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