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DSH010087G USA Health University Hospital (Active)
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Main Details
Name
USA Health University Hospital
Subdivision Name
Internal Medicine - Internal Medicine Pulmonary UH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010087G
Medicare Provider Number
010087
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/5/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/27/2023
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
USA Health Systems
Kristen Roberts, Chief Financial Officer
(251) 460-6241
Primary Contact
University of South Alabama Health System
Davin Patel, Pharmacy Compliance Manager
(251) 214-5465
Addresses
Street Address
2451 University Hospital Drive
suite 102
Mobile, AL 36617
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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