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CAH371323-00 WEATHERFORD HOSPITAL AUTHORITY (Active)
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Main Details
Name
WEATHERFORD HOSPITAL AUTHORITY
Subdivision Name
WEATHERFORD REGIONAL HOSPITAL
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371323-00
Medicare Provider Number
371323
Additional Details
Current Program Status
Active
Registration Date
4/6/2018
Participating Start Date
5/9/2018
Participating Approval Date
4/20/2018
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Weatherford Regional Hospital
Darin Farrell, President
(580) 774-4750
Primary Contact
Weatherford Regional Hospital
Jeremy Garrett, Director of Pharmacy
(580) 772-5551 Ext: 747
Addresses
Street Address
3701 E MAIN STREET
WEATHERFORD, OK 73096
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 8/24/10; Terminated 4/1/2018; Reinstated 7/1/2018.
04/19/2018
April 2025
April 2025
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