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CAH451343-00 ELECTRA MEMORIAL HOSPITAL (Active)
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Main Details
Name
ELECTRA MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451343-00
Medicare Provider Number
451343
Additional Details
Current Program Status
Active
Registration Date
8/3/2010
Participating Start Date
8/24/2010
Participating Approval Date
8/3/2010
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Electra Memorial Hospital
REBECCA MCCAIN, CEO/ADMINISTRATOR
(940) 495-3981
Primary Contact
Electra Memorial Hospital
David Jason Lee, Pharmacist
(940) 495-3981
Addresses
Street Address
1207 S. Bailey Street
ELECTRA, TX 76360-1112
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Please update the filing date to 2/26/25. Thank you.
03/18/2025
April 2025
April 2025
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