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CAH671301-00 Hemphill County Hospital (Active)
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Main Details
Name
Hemphill County Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH671301-00
Medicare Provider Number
671301
Additional Details
Current Program Status
Active
Registration Date
1/16/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/6/2024
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Hemphill County Hospital District
Kelsey Haley, CEO
(806) 323-1126
Primary Contact
Hemphill County Hospital District
Alexandra Cipollone, Executive Administrative Assistant
(806) 323-1101
Addresses
Street Address
1020 S 4th St.
Canadian, TX 79014
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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