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CAH521354-00 SOUTHWEST HEALTH CENTER (Active)
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Main Details
Name
SOUTHWEST HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521354-00
Medicare Provider Number
521354
Additional Details
Current Program Status
Active
Registration Date
12/10/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/10/2010
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Southwest Health Center, Inc.
Jesse William Sookochoff, Chief Financial Officer
(608) 342-4705
Primary Contact
Southwest Health
Jeff McDonald, Outpatient Pharmacy Director
(608) 342-6333
Addresses
Street Address
1400 EAST SIDE ROAD
PLATTEVILLE, WI 53818
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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