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CAH351324-00 MERCY HOSPITAL OF VALLEY CITY (Active)
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Main Details
Name
MERCY HOSPITAL OF VALLEY CITY
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH351324-00
Medicare Provider Number
351324
Additional Details
Current Program Status
Active
Registration Date
9/20/2010
Participating Start Date
9/23/2010
Participating Approval Date
9/23/2010
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
CHI Mercy Health Valley City
Darryl Ryan Fowler, President
(701) 845-6461
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
570 CHAUTAUQUA BLVD
VALLEY CITY, ND 58072
Billing Address
MERCY HOSPITAL OF VALLEY CITY
ATTN: 3700-5100140
PO Box 636000
LITTLETON, CO 80163
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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