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DSH250040AW SINGING RIVER HEALTH SYSTEM (Terminated)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
Singing River - Surgical Services Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250040AW
Medicare Provider Number
250040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/2/2023
Participating Start Date
6/13/2023
Participating Approval Date
6/13/2023
Last Recertification Date
9/11/2023
Termination Date
Termination Reason
7/1/2024
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
1124 Oakleigh Rd
Ocean Springs, MS 39564
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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