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CAH281359-00 MEMORIAL COMMUNITY HOSPITAL (Active)
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Main Details
Name
MEMORIAL COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH281359-00
Medicare Provider Number
281359
Additional Details
Current Program Status
Active
Registration Date
10/26/2010
Participating Start Date
1/1/2011
Participating Approval Date
10/26/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
MEMORIAL COMMUNITY HOSPITAL
JENNIFER NEWBY, Operations Director, Finance and Support Services
(402) 426-1295
Primary Contact
MEMORIAL COMMUNITY HOSPITAL
BRAD STUVA, PHARMACY MANAGER
(402) 426-1159
Addresses
Street Address
810 N. 22ND ST
BLAIR, NE 68008
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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