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CAH351311-00 LISBON AREA HEALTH SERVICES (Active)
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Main Details
Name
LISBON AREA HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH351311-00
Medicare Provider Number
351311
Additional Details
Current Program Status
Active
Registration Date
9/27/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/27/2010
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Lisbon Area Health Services-CHI Oakes Hospital
Rebecca Lynn Thompson, President
(701) 710-0429
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
905 MAIN ST
LISBON, ND 58054
Billing Address
LISBON AREA HEALTH SERVICES
Attn: 5800-5100150
PO BOX 636000
LITTLETON, CO 80163
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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