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CAH451332-00 PALACIOS COMMUNITY MEDICAL CENTER (Active)
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Main Details
Name
PALACIOS COMMUNITY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451332-00
Medicare Provider Number
451332
Additional Details
Current Program Status
Active
Registration Date
9/30/2010
Participating Start Date
9/30/2010
Participating Approval Date
9/30/2010
Last Recertification Date
9/10/2024
Contacts
Authorizing Official
Palacios Community Medical Center
David Mak, CFO
(979) 543-6251
Primary Contact
Mid Coast Health System
Irma Rocha, Senior Admin Assistant
(979) 543-8420
Addresses
Street Address
311 GREEN AVE
PALACIOS, TX 77465-3213
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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