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CAH451319-00 MOTHER FRANCES HOSPITAL-JACKSONVILLE (Active)
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Main Details
Name
MOTHER FRANCES HOSPITAL-JACKSONVILLE
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451319-00
Medicare Provider Number
451319
Additional Details
Current Program Status
Active
Registration Date
9/21/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/21/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
CHRISTUS Mother Frances Hospital - Jacksonville
Barry D. Lofquist, Administrator
(903) 541-4505
Primary Contact
Christus Mother Frances, Jacksonville
Joshua Ward, 340B Coordinator
(903) 606-7591
Addresses
Street Address
2026 S.JACKSON ST.
JACKSONVILLE, TX 75766
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/7/11 REMOVED NPI# (WAS NPI-1952306672)
04/07/2011
May 2025
May 2025
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