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DSH010129D GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY (Active)
Main Details
Name
GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY
Subdivision Name
Outpatient Infusion Services-Malbis - Infusion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010129D
Medicare Provider Number
010129
Outpatient Facility Provider Number
Contacts
Authorizing Official
North Baldwin Infirmary
Kenny H Breal, President
(251) 648-7673
Primary Contact
Mobile Infirmary
Michelle Wheat, Pharmacist Informatics Coordinator
(251) 435-2683
Additional Details
Current Program Status
Active
Registration Date
1/13/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/19/2023
Last Recertification Date
8/16/2023
Addresses
Street Address
9570 US Highway 90
103
Daphne, AL 36526
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2024
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