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CAH261317-00 MERCY HOSPITAL CASSVILLE (Active)
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Main Details
Name
MERCY HOSPITAL CASSVILLE
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261317-00
Medicare Provider Number
261317
Additional Details
Current Program Status
Active
Registration Date
11/23/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/24/2010
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Mercy
Sherry Clouse Day, VP Finance - Mercy CAH
(417) 820-8439
Primary Contact
Mercy Shared Services
Mike Loftus, Director-Hospital Pharmacy
(417) 820-3487
Addresses
Street Address
94 MAIN
CASSVILLE, MO 65625
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/5/12 - Updated entity name (was ST. JOHN'S HOSPITAL - CASSVILLE)
03/05/2012
April 2025
April 2025
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