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DSH110164 Coliseum Medical Center, Inc. d/b/a Piedmont Macon Medical Center (Terminated)
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Main Details
Name
Coliseum Medical Center, Inc. d/b/a Piedmont Macon Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110164
Medicare Provider Number
110164
Additional Details
Current Program Status
Terminated
Registration Date
1/9/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/11/2023
Last Recertification Date
8/14/2024
Termination Date
Termination Reason
1/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Coliseum Medical Center, Inc. d/b/a Piedmont Macon Medical Center
Alisha R Neal, Chief Financial Officer PMM & PMN
(478) 464-8140
Primary Contact
Coliseum Medical Center, Inc d/b/a Piedmont Macon Medical Center
Cheryl Stapleton, Director of Pharmacy
(478) 765-4818
Addresses
Street Address
350 Hospital Drive
Macon, GA 31217
Billing Address
Coliseum Medical Center, Inc. d/b/a Piedmont Macon Medical Center
350 Hospital Drive
Macon, GA 31217
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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