340B Drug Pricing Program Database

Name

SINGING RIVER HEALTH SYSTEM

Subdivision Name

Singing River - Surgical Services Clinic

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH250040AX

Medicare Provider Number

250040

Outpatient Facility Provider Number

Current Program Status

Terminated

Registration Date

6/2/2023

Participating Start Date

6/13/2023

Participating Approval Date

6/13/2023

Last Recertification Date

9/8/2023

Termination Date
Termination Reason

7/1/2024
DSH percentage below statutory minimum

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

Street Address

2525 Telephone Rd
Pascagoula, MS 39567

Billing Address
Same as Street Address