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RRC250040-21 SINGING RIVER HEALTH SYSTEM (Terminated)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
Specialty Medical Clinics - Rheumatology Services
Type
Rural Referral Center
Rural
Yes
340B ID
RRC250040-21
Medicare Provider Number
250040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2020
Participating Start Date
1/1/2021
Participating Approval Date
11/24/2020
Last Recertification Date
8/29/2021
Termination Date
Termination Reason
3/15/2022
Change of covered entity type
Contacts
Authorizing Official
Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191
Primary Contact
Singing River Health System
Lisa D Fratesi, Executive Director of Pharmacy
(662) 347-0066
Addresses
Street Address
3603 Bienville Blvd, Suite 100
Ocean Springs, MS 39564
Billing Address
Singing River Health System
2809 Denny Ave
Pascagoula, MS 39581
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated 1/01/2021 until terminated effective 3/15/2022, reinstated 7/01/2025.
04/25/2025
April 2025
April 2025
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