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DSH250123E SINGING RIVER GULFPORT (Terminated)
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Main Details
Name
SINGING RIVER GULFPORT
Subdivision Name
SINGING RIVER GULFPORT - Singing River Orthopedics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH250123E
Medicare Provider Number
250123
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2022
Participating Start Date
7/1/2022
Participating Approval Date
5/2/2022
Last Recertification Date
9/4/2024
Termination Date
Termination Reason
4/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191
Primary Contact
Singing River Health System
Lisa D Fratesi, Executive Director of Pharmacy
(662) 347-0066
Addresses
Street Address
15190 COMMUNITY RD, STE 120
SINGING RIVER ORTHOPEDICS
GULFPORT, MS 39503-3494
Billing Address
Singing River Gulfport
15200 Community Road
Gulfport, MS 39503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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