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RRC250040-17 SINGING RIVER HEALTH SYSTEM (Terminated)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
Medical Park Ocean Springs - Cat Scan
Type
Rural Referral Center
Rural
Yes
340B ID
RRC250040-17
Medicare Provider Number
250040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/7/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/10/2024
Last Recertification Date
8/27/2024
Termination Date
Termination Reason
4/1/2025
Other
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
3535 Bienville Blvd
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 start 1/1/2021, Terminated 3/15/2022, Reinstated 7/1/2024
06/10/2024
April 2025
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