340B Drug Pricing Program Database
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DSH250078H FORREST GENERAL HOSPITAL (Active)
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Main Details
Name
FORREST GENERAL HOSPITAL
Subdivision Name
Asbury Hospice House - Hospice Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH250078H
Medicare Provider Number
250078
Outpatient Facility Provider Number
251519
Additional Details
Current Program Status
Active
Registration Date
10/11/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/12/2017
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Forrest General Hospital
Ben Hester, CFO
(601) 288-4225
Primary Contact
Forrest General Hospital
Teresa Rowley McDaniel, Director of Pharmacy
(601) 288-1485
Addresses
Street Address
304 S. 40th Avenue
Hattiesburg, MS 39402
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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