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DSH010078H NORTHEAST ALABAMA REGIONAL MED CTR (Active)
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Main Details
Name
NORTHEAST ALABAMA REGIONAL MED CTR
Subdivision Name
STRINGFELLOW CAMPUS OF NORTHEAST ALABAMA REGIONAL MED CTR GI LAB - GI LAB
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010078H
Medicare Provider Number
010078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/12/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/18/2023
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
The Health Care Authority of the City of Anniston
Kimberly Campbell, AVP - Finance
(256) 235-5041
Primary Contact
Northeast Alabama Regional Medical Center
Patricia Cobb, 340B/Revenue Integrity Manager
(256) 235-5229
Addresses
Street Address
301 EAST 18TH STREET
ANNISTON, AL 36207
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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