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DSH420036 MUSC Health Lancaster Medical Center (Active)
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Main Details
Name
MUSC Health Lancaster Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420036
Medicare Provider Number
420036
Additional Details
Current Program Status
Active
Registration Date
10/11/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/15/2019
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Medical University Hospital Authority
Thomas C Crawford, Chief Operating Officer
(843) 792-8775
Primary Contact
MUSC Health
Sharelle Brown, Executive System Director Pharmacy Business and Finance
(248) 396-8085
Addresses
Street Address
800 WEST MEETING STREET
LANCASTER, SC 29720
Billing Address
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
PO Box 31244
Salt Lake City, UT 84131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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