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RRC250040-25 SINGING RIVER HEALTH SYSTEM (Active)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
Singing River Medical Clinics - Medical Clinic- Pascagoula
Type
Rural Referral Center
Rural
Yes
340B ID
RRC250040-25
Medicare Provider Number
250040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/30/2024
Last Recertification Date
8/28/2024
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
2819 Denny Ave
Pascagoula, MS 39581
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 starting 1/1/2021, Terminated 3/15/2022, Reinstated 7/1/2024
05/30/2024
April 2025
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