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SCH490018-01 AUGUSTA MEDICAL CENTER (Terminated)
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Main Details
Name
AUGUSTA MEDICAL CENTER
Subdivision Name
Augusta Health Ambulatory Infusion Center - Augusta Infusion
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH490018-01
Medicare Provider Number
490018
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/1/2020
Participating Start Date
7/1/2020
Participating Approval Date
6/5/2020
Last Recertification Date
8/17/2021
Termination Date
Termination Reason
10/1/2022
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Augusta Health
Scott Crabtree, Vice President of Professional Services
(540) 332-4800
Primary Contact
Augusta Health
Crystal L Lambert, Operations Manager
(540) 332-4596
Addresses
Street Address
70 Medical Center Circle
114
Fishersville, VA 22939
Billing Address
Augusta Health
78 Medical Center Drive
PO BOX 1000
Fishersville, VA 22939
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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