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CAH281342-00 SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's (Active)
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Main Details
Name
SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281342-00
Medicare Provider Number
281342
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
9/22/2010
Participating Approval Date
9/22/2010
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
CHI Health St. Mary's
Daniel J DeFreece, Interim President
(402) 873-3321
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
1301 Grundman BLVD
NEBRASKA CITY, NE 68410
Billing Address
CHI Health St. Mary's
PO Box 70
Nebraska City, NE 68410
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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