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SCH190088-00 SPRINGHILL MEDICAL CENTER - AMENDED (Active)
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Main Details
Name
SPRINGHILL MEDICAL CENTER - AMENDED
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH190088-00
Medicare Provider Number
190088
Additional Details
Current Program Status
Active
Registration Date
10/3/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/5/2017
Last Recertification Date
8/18/2024
Contacts
Authorizing Official
Springhill Medical Center
Pete Johnson, CEO
(318) 539-1002
Primary Contact
Springhill Medical Center
Kristin Cole, CNO
(318) 539-1004
Addresses
Street Address
2001 DOCTORS DRIVE
SPRINGHILL, LA 71075
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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