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CAH131317-00 BENEWAH COMMUNITY HOSPITAL (Active)
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Main Details
Name
BENEWAH COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH131317-00
Medicare Provider Number
131317
Additional Details
Current Program Status
Active
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/16/2014
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Benewah Community Hospital
Lori Minier, CFO
(208) 245-7609
Primary Contact
Benewah Community Hospital
Eric Daniels, Pharmacist
(208) 245-7686
Addresses
Street Address
229 S 7TH STREET
ST MARIES, ID 83861
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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