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SCH490018-14 AUGUSTA MEDICAL CENTER (Active)
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Main Details
Name
AUGUSTA MEDICAL CENTER
Subdivision Name
SHENANDOAH HOUSE - Hospice House
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH490018-14
Medicare Provider Number
490018
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/5/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/8/2021
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Augusta Health
Scott Crabtree, Vice President of Professional Services
(540) 332-4800
Primary Contact
Augusta Health
Crystal L Lambert, Operations Manager
(540) 332-4596
Addresses
Street Address
111 NORTH CAMPUS LN
FISHERVILLE, VA 22939-0215
Billing Address
Augusta Health
78 Medical Center Drive
PO BOX 1000
Fishersville, VA 22939
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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