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CAH241311-00 SIBLEY MEDICAL CENTER (Active)
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Main Details
Name
SIBLEY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241311-00
Medicare Provider Number
241311
Additional Details
Current Program Status
Active
Registration Date
9/21/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/21/2010
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Ridgeview
Brent Wordelman, Executive Director of Finance
(952) 442-2191 Ext: 35705
Primary Contact
Ridgeview
Laura Ward, Pharmacist in Charge
(507) 964-8506
Addresses
Street Address
601 WEST CHANDLER ST
ARLINGTON, MN 55307-2127
Billing Address
SIBLEY MEDICAL CENTER
601 WEST CHANDLER ST
PO Box 620
ARLINGTON, MN 55307-2127
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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