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RRC250040-27 SINGING RIVER HEALTH SYSTEM (Terminated)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
Hospice Services - Hospice of Light- Lucedale
Type
Rural Referral Center
Rural
Yes
340B ID
RRC250040-27
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
53 Dewey Street
Lucedale, MS 39452
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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