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GREENVILLE HEALTH CORPORATION
DSH420078 Prisma Health GREENVILLE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
Prisma Health GREENVILLE MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH420078
Entity Address
701 GROVE ROAD
GREENVILLE, SC 29605
Medicare Provider Number
420078
Participating Start Date
4/1/1999
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
GREENVILLE HEALTH CORPORATION
Pharmacy Address
D/B/A UPSTATE PHARMACY - EASTSIDE
200 PATEWOOD DR
STE B150
GREENVILLE, SC 29615-6339
Pharmacy Comments
04/18/2012 updated suite (was 12A)
Contract Details
Approval Date
12/5/2011
Contract Begin Date
12/5/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Johnson, Regional COO, Prisma Health- Upstate
(864) 455-6250
Contract Pharmacy Representative
GHS Laurens Community Hosptial
Terri Newsom, CFO-Greenville Health System
(864) 797-7804
Signed By Date
12/1/2011
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