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DSH250078J FORREST GENERAL HOSPITAL (Active)
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Main Details
Name
FORREST GENERAL HOSPITAL
Subdivision Name
The Heart Care Center of Laurel - Cardiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH250078J
Medicare Provider Number
250078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/18/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/16/2018
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
404 South 13th Avenue
Laurel, MS 39440
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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