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CAH241363-00 STEVENS COMMUNITY MEDICAL CENTER (Active)
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Main Details
Name
STEVENS COMMUNITY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241363-00
Medicare Provider Number
241363
Additional Details
Current Program Status
Active
Registration Date
9/24/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/28/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Stevens Community Medical Center
KERRIE MCEVILLY, President/CEO
(320) 589-7655
Primary Contact
Stevens Community Medical Center
Evan Bryant Varga, Director of Pharmacy
(320) 589-7645
Addresses
Street Address
400 EAST 1ST ST
MORRIS, MN 56267
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/21/11 Removed Medicaid#(was 733847300); Removed NPI#s (was 1487678942,1366543662)
09/21/2011
April 2025
April 2025
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