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CAH451359-00 OCHILTREE GENERAL HOSPITAL (Active)
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Main Details
Name
OCHILTREE GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451359-00
Medicare Provider Number
451359
Additional Details
Current Program Status
Active
Registration Date
4/10/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/11/2014
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Ochiltree General Hospital
Kelly Paige Judice, CEO
(806) 648-7110
Primary Contact
Ochiltree Hospital District
Tara McCartney, Administrative Assistant
(806) 648-7113
Addresses
Street Address
3101 GARRETT DR
PERRYTON, TX 79070-5323
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/28/12 participating 9/30/10 thru 6/30/12, not participating 7/1/12 thru 9/30/12
09/28/2012
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