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CAH451310-00 BALLINGER MEMORIAL HOSPITAL (Active)
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Main Details
Name
BALLINGER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451310-00
Medicare Provider Number
451310
Additional Details
Current Program Status
Active
Registration Date
9/20/2010
Participating Start Date
9/29/2010
Participating Approval Date
9/21/2010
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Ballinger Memorial Hospital District
Rhett D. Fricke, CEO/Administrator
(325) 365-2531
Primary Contact
Ballinger Memorial Hospital District
Amy Lynn Fischer, Director of Pharmacy
(325) 365-3505
Addresses
Street Address
608 AVENUE B
BALLINGER, TX 76821
Billing Address
BALLINGER MEMORIAL HOSPITAL
PO BOX 617
BALLINGER, TX 76821
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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