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CAH101315-00 JAY HOSPITAL, INC. (Active)
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Main Details
Name
JAY HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH101315-00
Medicare Provider Number
101315
Additional Details
Current Program Status
Active
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/4/2024
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Baptist Health Care
Valerie Cyd Cadena, Senior Vice President - Operations
(448) 227-8053
Primary Contact
BHC
Frederick Seelmann, Executive Director of Pharmacy
(850) 469-7567
Addresses
Street Address
14114 ALABAMA STREET
Jay, FL 32565-1219
Billing Address
JAY HOSPITAL, INC
14114 ALABAMA STREET
JAY, FL 32565-1219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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