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DSH250104A ANDERSON REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
ANDERSON REGIONAL MEDICAL CENTER
Subdivision Name
Anderson Express Care Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250104A
Medicare Provider Number
250104
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/24/2017
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Baptist Memorial Health Care Corporation
Cyndi Pittman, VP Financial Operations
(901) 227-8480
Primary Contact
Baptist Memorial Health Care Corp
Donna C Cox, Director 340B
(901) 227-5144
Addresses
Street Address
1523 22nd Avenue
Suite B
Meridian, MS 39301-4111
Billing Address
Anderson Regional Medical Center
2124 14th Street
Meridian, MS 39301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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