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CAH251325-07 COVINGTON COUNTY HOSPITAL (Active)
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Main Details
Name
COVINGTON COUNTY HOSPITAL
Subdivision Name
COVINGTON COUNTY HOSPITAL - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251325-07
Medicare Provider Number
251325
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/21/2021
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Covington County Hospital
Gregg Gibbes, CEO
(601) 765-6711
Primary Contact
Covington County Hospital
Delilah Hudson, Controller
(601) 765-6711 Ext: 126
Addresses
Street Address
1039 HIGHWAY 42 STE 3
EXPRESS CARE SUMRALL
SUMRALL, MS 39482-4478
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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