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SCH370034-00 MCALESTER REGIONAL HEALTH CENTER (Terminated)
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Main Details
Name
MCALESTER REGIONAL HEALTH CENTER
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH370034-00
Medicare Provider Number
370034
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/8/2021
Last Recertification Date
9/12/2023
Termination Date
Termination Reason
7/1/2024
Change of covered entity type
Contacts
Authorizing Official
McAlester Regional Health Center
Cheryl Perry, Chief Financial Officer
(918) 421-8626
Primary Contact
McAlester Regional Health Center
Larry D Auld, PHARMACY DIRECTOR
(918) 421-8037
Addresses
Street Address
1 CLARK BASS BOULEVARD
MCALESTER, OK 74501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 9/13/2010, Termination 10/1/2016, Reinstatement 7/1/2021
04/07/2021
April 2025
April 2025
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