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CAH321305-03 NOR-LEA GENERAL HOSPITAL (Active)
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Main Details
Name
NOR-LEA GENERAL HOSPITAL
Subdivision Name
TATUM CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH321305-03
Medicare Provider Number
321305
Outpatient Facility Provider Number
323984
Additional Details
Current Program Status
Active
Registration Date
9/23/2010
Participating Start Date
9/24/2010
Participating Approval Date
9/24/2010
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Nor-Lea Hospital District
ALLYSON ROBERTS, CFO
(575) 396-6611 Ext: 1126
Primary Contact
Nor-Lea Hospital District
Ashley Monique Galindo, Accounting Manager
(575) 396-6611
Addresses
Street Address
204 N. MAIN STREET
TATUM, NM 88267
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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