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SCH030007-00 VERDE VALLEY MEDICAL CENTER (Active)
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Main Details
Name
VERDE VALLEY MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH030007-00
Medicare Provider Number
030007
Additional Details
Current Program Status
Active
Registration Date
9/27/2010
Participating Start Date
9/30/2010
Participating Approval Date
9/27/2010
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Northern Arizona Healthcare
Clifford F Loader, Chief Financial Officer
(928) 773-2282
Primary Contact
Northern Arizona Healthcare
Scott Waldrop, System Director of Pharmacy Services
(928) 773-2117
Addresses
Street Address
269 SOUTH CANDY LANE
COTTONWOOD, AZ 86326
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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