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CAH261323-00 CEDAR COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
CEDAR COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261323-00
Medicare Provider Number
261323
Additional Details
Current Program Status
Active
Registration Date
8/29/2010
Participating Start Date
9/8/2010
Participating Approval Date
9/8/2010
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Cedar County Memorial Hospital
Terry Wayne Nichols, Chief Executive Officer
(573) 366-4892
Primary Contact
Cedar County Memorial Hospital
Carla Gilbert, CFO
(417) 876-3097
Addresses
Street Address
1401 S. PARK STREET
EL DORADO SPRINGS, MO 64744
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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