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CAH261318-00 SALEM MEMORIAL HOSPITAL (Active)
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Main Details
Name
SALEM MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261318-00
Medicare Provider Number
261318
Additional Details
Current Program Status
Active
Registration Date
8/26/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/1/2010
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Salem Memorial Hospital
Brooke Bollman, CEO
(573) 729-6626 Ext: 4000
Primary Contact
Salem Memorial Hospital
VANESSA WELLS, Pharmacist
(573) 729-6626
Addresses
Street Address
35629 HIGHWAY 72
SALEM, MO 65560-0774
Billing Address
SALEM MEMORIAL HOSPITAL
P.O.BOX 774
SALEM, MO 65560
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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