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CAH051324-00 NORTHERN INYO HOSPITAL (Active)
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Main Details
Name
NORTHERN INYO HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH051324-00
Medicare Provider Number
051324
Additional Details
Current Program Status
Active
Registration Date
8/2/2010
Participating Start Date
8/17/2010
Participating Approval Date
8/3/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Northern Inyo Healthcare District
Stephen C DelRossi, CFO, CEO
(760) 873-2109 Ext: 2109
Primary Contact
Northern Inyo Healthcare District
Jeff Kneip, Pharmacy Director
(760) 873-2111 Ext: 2046
Addresses
Street Address
150 PIONEER LANE
BISHOP, CA 93514
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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