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CAH671301-01 Hemphill County Hospital (Active)
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Main Details
Name
Hemphill County Hospital
Subdivision Name
Canadian Family Physicians - Rural Health Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH671301-01
Medicare Provider Number
671301
Outpatient Facility Provider Number
673459
Additional Details
Current Program Status
Active
Registration Date
1/15/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/28/2025
Last Recertification Date
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
1010 S. 4th Street
Canadian, TX 79014
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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