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DSH320038 REHOBOTH MCKINLEY CHRISTIAN HOSPITAL (Terminated)
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Main Details
Name
REHOBOTH MCKINLEY CHRISTIAN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH320038
Medicare Provider Number
320038
Additional Details
Current Program Status
Terminated
Registration Date
3/9/2022
Participating Start Date
3/22/2022
Participating Approval Date
3/22/2022
Last Recertification Date
9/11/2023
Termination Date
Termination Reason
10/1/2024
Failure to recertify
Contacts
Authorizing Official
Rehoboth McKinley Christian Health Care Services
William Davis Patten, CEO-I
(505) 863-7004
Primary Contact
RMCHCS
curry clyde graham, CNO
(623) 693-1568
Addresses
Street Address
1901 RED ROCK DRIVE
GALLUP, NM 87301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 9/9/2005, Termination Date 10/1/2021, Reinstatement 3/22/2022
03/22/2022
April 2025
April 2025
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