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DSH250042 Northwest Miss Regional Medical Center DBA Northwest Mississippi Regional Medical Center (Active)
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Main Details
Name
Northwest Miss Regional Medical Center DBA Northwest Mississippi Regional Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250042
Medicare Provider Number
250042
Additional Details
Current Program Status
Active
Registration Date
4/6/2021
Participating Start Date
6/16/2021
Participating Approval Date
6/17/2021
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Northwest Mississippi Regional Medical Center
Lorie Suzanne Till, CEO
(662) 624-3463
Primary Contact
Northwest Mississippi Regional Medical Center
Amanda Griffin, Pharmacy Manager
(662) 719-5949
Addresses
Street Address
1970 HOSPITAL DRIVE
CLARKSDALE, MS 38614
Billing Address
Northwest Miss Regional Medical Center DBA Northwest Mississippi Regional Medical Center
PO BOX 1218
Clarksdale, MS 38614-1218
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2018; Terminated 10/1/2019; Reinstated 6/16/2021.
06/16/2021
Participated starting 10/1/2018; Terminated 10/1/2019; Reinstated 7/1/2021.
06/03/2021
May 2025
May 2025
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