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CAH041322-00 FULTON COUNTY HOSPITAL (Active)
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Main Details
Name
FULTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041322-00
Medicare Provider Number
041322
Additional Details
Current Program Status
Active
Registration Date
9/14/2010
Participating Start Date
9/24/2010
Participating Approval Date
9/14/2010
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Fulton County Hospital
Anthony Reed, CEO
(870) 895-2691 Ext: 6099
Primary Contact
Fulton County Hospital
Christy Haley, 340B Coordinator
(870) 895-2691 Ext: 6013
Addresses
Street Address
679 N MAIN ST
SALEM, AR 72576-0517
Billing Address
FULTON COUNTY HOSPITAL
P.O. BOX 517
SALEM, AR 72576
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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