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CAH141343-00 CRAWFORD HOSPITAL DISTRICT D/B/A CRAWFORD MEMORIAL HOSPITAL (Active)
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Main Details
Name
CRAWFORD HOSPITAL DISTRICT D/B/A CRAWFORD MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141343-00
Medicare Provider Number
141343
Additional Details
Current Program Status
Active
Registration Date
11/23/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/23/2010
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Crawford Memorial Hospital
MITZI MARTIN, BOARD VICE CHAIR
(618) 544-3131 Ext: 5123
Primary Contact
Crawford Memorial Hospital
Blake Potts, Director of Pharmacy
(618) 544-3131 Ext: 5380
Addresses
Street Address
1000 N. ALLEN STREET
ROBINSON, IL 62454
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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