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CAH281355-00 OGALLALA COMMUNITY HOSPITAL (Active)
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Main Details
Name
OGALLALA COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281355-00
Medicare Provider Number
281355
Additional Details
Current Program Status
Active
Registration Date
9/24/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/24/2010
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Ogallala Community Hospital
DENA KLOCKMAN, CHIEF FINANCIAL OFFICER
(308) 284-7263
Primary Contact
Banner Health Ogallala Community Hospital
Vickie L. Meier, Associate Director of Pharmacy
(308) 284-7223
Addresses
Street Address
2601 North Spruce Street
Ogallala, NE 69153
Billing Address
Banner Health Accounts Payable
PO Box 2977
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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