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CAH531306-00 WASHAKIE MEDICAL CENTER (Active)
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Main Details
Name
WASHAKIE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH531306-00
Medicare Provider Number
531306
Additional Details
Current Program Status
Active
Registration Date
2/16/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/3/2011
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Washakie Medical Center
Jennifer McMillan, Chief Financial Officer
(307) 347-6940
Primary Contact
Washakie Medical Center
Michelle Hamilton, Associate Director of Pharmacy
(307) 347-6972
Addresses
Street Address
400 SOUTH 15TH STREET
WORLAND, WY 82401
Billing Address
Banner Health Accounts Payable
PO Box 2977
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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