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CAH171381-03 Hosp Dist #1 of Dickinson (Approved)
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Main Details
Name
Hosp Dist #1 of Dickinson
Subdivision Name
HOSPITAL DISTRICT NO KANSAS - Rural Health Clinic (Herington)
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171381-03
Medicare Provider Number
171381
Outpatient Facility Provider Number
178649
Additional Details
Current Program Status
Approved
Registration Date
4/9/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/14/2025
Last Recertification Date
Contacts
Authorizing Official
Hospital District No. 1 of Dickinson County, KS
Reginald Harold Courtois, CEO
(785) 263-6610
Primary Contact
Hospital District #1 of Dickinson
Lisa Wright, Pharmacist
(785) 263-6682
Addresses
Street Address
18 N BROADWAY
HERINGTON, KS 67449-2402
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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