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CAH361330-00 HOCKING VALLEY COMMUNITY HOSPITAL (Active)
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Main Details
Name
HOCKING VALLEY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH361330-00
Medicare Provider Number
361330
Additional Details
Current Program Status
Active
Registration Date
8/9/2010
Participating Start Date
8/10/2010
Participating Approval Date
8/9/2010
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Hocking Valley Community Hospital
Randy Montgomery, CFO
(740) 380-8389
Primary Contact
Hocking Valley Community Hospital
Steffany Loper, Director, Pharmacy Services
(740) 380-8332
Addresses
Street Address
601 State Route 664 N
LOGAN, OH 43138
Billing Address
HOCKING VALLEY COMMUNITY HOSP
PO BOX 966
LOGAN, OH 43138
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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