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DSH110001F HAMILTON MEDICAL CENTER INC. (Terminated)
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Main Details
Name
HAMILTON MEDICAL CENTER INC.
Subdivision Name
Hamilton Diagnostics Center - Electrocardiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110001F
Medicare Provider Number
110001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2021
Participating Start Date
4/1/2021
Participating Approval Date
2/16/2021
Last Recertification Date
9/16/2022
Termination Date
Termination Reason
1/1/2023
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Hamilton Medical Center
Randall Foster, Vice President-Finance
(706) 272-6124 Ext: 6124
Primary Contact
Hamilton Medical Center
Gregory K. Stinnett, Director of Pharmacy
(706) 272-6020
Addresses
Street Address
1407 N Thornton Ave
Dalton, GA 30720
Billing Address
Hamilton Medical Center
PO Box 1168
Dalton, GA 30722
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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