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CAH371323-02 WEATHERFORD HOSPITAL AUTHORITY (Approved)
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Main Details
Name
WEATHERFORD HOSPITAL AUTHORITY
Subdivision Name
WEATHERFORD HOSPITAL AUTHORITY - WRH FAMILY PRACTICE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371323-02
Medicare Provider Number
371323
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/15/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/2/2025
Last Recertification Date
Contacts
Authorizing Official
Weatherford Regional Hospital
Darin Farrell, President
(580) 774-4750
Primary Contact
Weatherford Regional Hospital
Jeremy Garrett, Director of Pharmacy
(580) 772-5551 Ext: 747
Addresses
Street Address
3743 LEGACY DRIVE
WRH FAMILY PRACTICE
WEATHERFORD, OK 73096-9746
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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