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NOBLE HEALTH SERVICES, INC.
DSH250034 BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI
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Covered Entity Details
Entity Name
BAPTIST MEMORIAL HOSPITAL - NORTH MISSISSIPPI
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250034
Entity Address
1100 Belk Blvd
OXFORD, MS 38655-5373
Medicare Provider Number
250034
Participating Start Date
7/1/2018
Last Recertification Date
9/8/2020
Entity Termination Date
6/4/2021
Pharmacy Details
Pharmacy Name
NOBLE HEALTH SERVICES, INC.
Pharmacy Address
DBA TRANSCRIPT PHARMACY
2506 LAKELAND DR
STE 201
FLOWOOD, MS 39232-7656
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/4/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David Barham, VP, Operations Finance CFO
(901) 227-7467
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
7/17/2018
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