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DSH420019 MUSC HEALTH CHESTER MEDICAL CENTER (Active)
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Main Details
Name
MUSC HEALTH CHESTER MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420019
Medicare Provider Number
420019
Additional Details
Current Program Status
Active
Registration Date
1/1/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/1/2024
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
ONE MEDICAL PARK DRIVE
CHESTER, SC 29706
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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Participating Start Date 1/1/2020, Termination Date 4/1/2022, Reinstatement 4/1/2024
01/09/2024
April 2025
April 2025
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