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CAH141323-00 MASSAC COUNTY HOSPITAL DISTRICT (Active)
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Main Details
Name
MASSAC COUNTY HOSPITAL DISTRICT
Subdivision Name
Massac Memorial Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141323-00
Medicare Provider Number
141323
Additional Details
Current Program Status
Active
Registration Date
8/2/2010
Participating Start Date
8/31/2010
Participating Approval Date
8/3/2010
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Massac Memorial Hospital
Lynn Ann Goines, CFO
(618) 524-2176 Ext: 2296
Primary Contact
Massac County Hospital District
LAUREN SCOTT, PHARMACY MANAGER
(618) 524-2176 Ext: 2350
Addresses
Street Address
28 CHICK ST.
METROPOLIS, IL 62960
Billing Address
MASSAC COUNTY HOSPITAL DISTRICT
PO BOX 850
METROPOLIS, IL 62960
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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