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DSH420091B MUSC Health Florence Medical Center (Terminated)
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Main Details
Name
MUSC Health Florence Medical Center
Subdivision Name
MUSC HEALTH FLORENCE MEDICAL CENTER - Cedar Tower
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420091B
Medicare Provider Number
420091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/24/2019
Last Recertification Date
8/24/2023
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Medical University Hospital Authority
Lisa Goodlett, Chief Financial Officer
(843) 792-4775
Primary Contact
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Gail M Kushner, Director, 340B
(843) 985-2371
Addresses
Street Address
121 E CEDAR ST
FLORENCE, SC 29506-2576
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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