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RRC010039-00 HUNTSVILLE HOSPITAL (Active)
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Main Details
Name
HUNTSVILLE HOSPITAL
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC010039-00
Medicare Provider Number
010039
Additional Details
Current Program Status
Active
Registration Date
11/23/2020
Participating Start Date
12/1/2020
Participating Approval Date
11/24/2020
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Huntsville Hospital
Clinton Carter, CFO
(256) 265-8818
Primary Contact
Huntsville Hospital
Luona Wang, Business Manager of Pharmacy Services
(256) 265-6241
Addresses
Street Address
101 SIVLEY ROAD SW
HUNTSVILLE, AL 35801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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