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CAH251302-20 BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC, D/B/A MONROE REGIONAL HOSPITAL (Active)
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Main Details
Name
BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC, D/B/A MONROE REGIONAL HOSPITAL
Subdivision Name
MRH Medical Group Columbus Women's Wellness
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251302-20
Medicare Provider Number
251302
Outpatient Facility Provider Number
258633
Additional Details
Current Program Status
Active
Registration Date
7/1/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/30/2020
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Boa Vida Hospital of Aberdeen LLC., dba Monroe Regional Hospital
Chris Chandler, CEO
(662) 369-2455
Primary Contact
Boa Vida Hospital of Aberdeen LLC., dba Monroe Regional Hospital
Lauren Wrighton Murray, 340B Program Coordinator
(662) 319-2074
Addresses
Street Address
505 Willowbrook Road
Columbus, MS 39705-2016
Billing Address
Boa Vida Healthcare, LLC
Attn: Accounts Payable
10996 Four Seasons Place
Suite 100C
Crown Point, IN 46307-7762
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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