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DSH110064R THE MEDICAL CENTER, INC. dba Piedmont Columbus Regional Midtown (Active)
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Main Details
Name
THE MEDICAL CENTER, INC. dba Piedmont Columbus Regional Midtown
Subdivision Name
Thoracic Surgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110064R
Medicare Provider Number
110064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/7/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/13/2021
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Piedmont Columbus Regional
M. Scott Hill, CEO
(706) 660-6103
Primary Contact
Piedmont Columbus Regional
Ryan R Crossman, Director of Pharmacy
(706) 571-1503
Addresses
Street Address
1831 5th Avenue
Columbus, GA 31904
Billing Address
Piedmont Columbus Regional Midtown
710 Center Street
Columbus, GA 31901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
May 2025
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