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CAH361333-00 FULTON COUNTY HEALTH CENTER (Active)
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Main Details
Name
FULTON COUNTY HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH361333-00
Medicare Provider Number
361333
Additional Details
Current Program Status
Active
Registration Date
9/9/2010
Participating Start Date
9/14/2010
Participating Approval Date
9/10/2010
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Fulton County Health Center
Patricia A. Finn, CEO
(419) 330-2601
Primary Contact
Fulton County Health Center
RACHEL DURHAM, DIRECTOR OF PHARMACY
(419) 330-2690
Addresses
Street Address
725 S SHOOP AVE
WAUSEON, OH 43567-1701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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