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MID COAST MEDICAL CENTER-CENTRAL (Rejected)
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Main Details
Name
MID COAST MEDICAL CENTER-CENTRAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
Medicare Provider Number
451396
Additional Details
Current Program Status
Rejected
Registration Date
4/15/2025
Participating Start Date
Participating Approval Date
Last Recertification Date
Contacts
Authorizing Official
Llano Regional Hospital
Rob T Hardy, Interim Administrator
(512) 639-4444
Primary Contact
Llano Regional Hospital
David Willmann, Chairman
(325) 247-5701
Addresses
Street Address
200 N. OLLIE STREET
LLANO, TX 78643
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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