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CAH151332-00 DECATUR COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
DECATUR COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH151332-00
Medicare Provider Number
151332
Additional Details
Current Program Status
Active
Registration Date
8/17/2010
Participating Start Date
8/18/2010
Participating Approval Date
8/18/2010
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
DECATUR COUNTY MEMORIAL HOSPITAL
Rex McKinney, CEO
(812) 663-1171
Primary Contact
Decatur County Memorial Hospital
Amy J Smith, 340B Coordinator
(812) 663-1249
Addresses
Street Address
720 NORTH LINCOLN STREET
GREENSBURG, IN 47240
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/19/12 - Added medicaid # 11/8/2010- REMOVED MEDICAID NUMBER -NPI-100268710A)
03/19/2012
11/8/2010- REMOVED MEDICAID NUMBER -NPI-100268710A)
11/08/2010
May 2025
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