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CAH361314-00 H. B. MAGRUDER MEMORIAL HOSPITAL (Active)
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Main Details
Name
H. B. MAGRUDER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361314-00
Medicare Provider Number
361314
Additional Details
Current Program Status
Active
Registration Date
9/17/2010
Participating Start Date
9/23/2010
Participating Approval Date
9/23/2010
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Magruder Hospital
NICHOLAS MARSICO, CEO and PRESIDENT
(419) 734-3131
Primary Contact
HB Magruder Memorial Hospital
Stephanie Majercak, Pharmacy Regulatory Analyst
(419) 732-4009 Ext: 6802
Addresses
Street Address
615 FULTON STREET
PORT CLINTON, OH 43452
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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