340B Drug Pricing Program Database
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CAH011306-00 Tanner Medical Center Alabama, Inc. (Active)
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Main Details
Name
Tanner Medical Center Alabama, Inc.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH011306-00
Medicare Provider Number
011306
Additional Details
Current Program Status
Active
Registration Date
4/8/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/12/2019
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Tanner Health System
Carol S. Crews, CFO
(770) 812-9745
Primary Contact
Tanner Health System
Emily Renee Allen, 340B Program Manager
(770) 812-8371
Addresses
Street Address
1032 South Main Street
Wedowee, AL 36278
Billing Address
Tanner Medical Center, Inc.
100 Greenway Blvd
Suite A
Carrollton, GA 30117
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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