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CAH261323-02 CEDAR COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
CEDAR COUNTY MEMORIAL HOSPITAL
Subdivision Name
Cedar County Family Clinic - Family Practice Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261323-02
Medicare Provider Number
261323
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/15/2024
Last Recertification Date
Contacts
Authorizing Official
Cedar County Memorial Hospital
Terry Wayne Nichols, Chief Executive Officer
(573) 366-4892
Primary Contact
Cedar County Memorial Hospital
Carla Gilbert, CFO
(417) 876-3097
Addresses
Street Address
807 Owen Mill Road
Stockton, MO 65785
Billing Address
Cedar County Memorial Hospital
Dept 5169, PO Box 55296
Little Rock, AR 72215-5296
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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