340B Drug Pricing Program Database
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DSH110107T Atrium Health Navicent The Medical Center (Active)
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Main Details
Name
Atrium Health Navicent The Medical Center
Subdivision Name
Beverly Knight Olson Children's Hospital Outpatient Services - Pediatric Surgical Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110107T
Medicare Provider Number
110107
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/17/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/19/2023
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Atrium Health Navicent
Kimberly Shrewsbury, SVP and CFO
(205) 965-7895
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
700 Spring Street
Macon, GA 31201
Billing Address
Medical Center of Central Georgia
777 Hemlock St
MSC #113
Macon, GA 31201-2102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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