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SCH450055-00 ROLLING PLAINS MEMORIAL HOSPITAL (Active)
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Main Details
Name
ROLLING PLAINS MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH450055-00
Medicare Provider Number
450055
Additional Details
Current Program Status
Active
Registration Date
9/6/2010
Participating Start Date
9/8/2010
Participating Approval Date
9/7/2010
Last Recertification Date
9/17/2024
Contacts
Authorizing Official
ROLLING PLAINS MEMORIAL HOSPITAL
RHONDA GUELKER, CFO
(325) 219-6238
Primary Contact
Rolling Plains Memorial Hospital
Brandon Staggs, Director of Pharmacy
(325) 219-6075
Addresses
Street Address
200 E. ARIZONA
SWEETWATER, TX 79556
Billing Address
ROLLING PLAINS MEMORIAL HOSPITAL
P.O. BOX 690
SWEETWATER, TX 79556
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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04/13/11,REMOVE MEDICAID#(133244705)
04/13/2011
April 2025
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