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CAH171370-00 GOODLAND REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
GOODLAND REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171370-00
Medicare Provider Number
171370
Additional Details
Current Program Status
Active
Registration Date
10/7/2010
Participating Start Date
1/1/2011
Participating Approval Date
10/13/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Goodland Regional Medical Center
Heather Prideaux, Chief Financial Officer
(785) 890-6003
Primary Contact
Goodland Regional Medical Center
Jill Susanne Neitzel, DIRECTOR OF PHARMACY
(785) 890-6019
Addresses
Street Address
220 WEST SECOND STREET
GOODLAND, KS 67735
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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