340B Drug Pricing Program Database
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DSH250001AH University of Mississippi Medical Center (Terminated)
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Main Details
Name
University of Mississippi Medical Center
Subdivision Name
UMMC GI Lab - Belhaven - Gastroenterology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH250001AH
Medicare Provider Number
250001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/15/2019
Last Recertification Date
9/14/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
University of MIssissippi Medical Center
Jeffrey Grimsley, CFO-Health System
(601) 815-6270
Primary Contact
University of Mississippi Medical Center
William E Mayhood, Supervisor-340b Compliance
(601) 984-2676
Addresses
Street Address
1405 North State Street
Suite 300
Jackson, MS 39202
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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