340B Drug Pricing Program Database
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DSH250104H ANDERSON REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
ANDERSON REGIONAL MEDICAL CENTER
Subdivision Name
Anderson MMA Nephrology Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250104H
Medicare Provider Number
250104
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2021
Participating Start Date
7/1/2021
Participating Approval Date
6/2/2021
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Baptist Memorial Health Care Corporation
Cyndi Pittman, VP Financial Operations
(901) 227-8480
Primary Contact
Baptist Memorial Health Care Corp
Donna C Cox, Director 340B
(901) 227-5144
Addresses
Street Address
2024 15th Street
Meridian, MS 39301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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