340B Drug Pricing Program Database
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DSH110024H CANDLER HOSPITAL (Active)
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Main Details
Name
CANDLER HOSPITAL
Subdivision Name
CH Gastro - Gastroenterology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110024H
Medicare Provider Number
110024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/14/2021
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Candler Hospital
PAUL P. HINCHEY, CEO
(912) 819-6901
Primary Contact
St. Joseph's/Candler
Tommy Harvey, Business Manager Pharmacy
(912) 819-8155
Addresses
Street Address
5354 Reynolds Street
Savannah, GA 31405
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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