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CAH531305-00 PLATTE COUNTY HOSPITAL (Active)
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Main Details
Name
PLATTE COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH531305-00
Medicare Provider Number
531305
Additional Details
Current Program Status
Active
Registration Date
8/19/2010
Participating Start Date
9/28/2010
Participating Approval Date
8/20/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Washakie Medical Center
Jennifer McMillan, Chief Financial Officer
(307) 347-6940
Primary Contact
Platte County Memorial Hospital
Mark T Schmick, Associate Director of Pharmacy
(307) 322-8220
Addresses
Street Address
201 14TH STREET
WHEATLAND, WY 82201
Billing Address
Banner Health accounts payable
PO BOX 2977
phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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