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CAH371309-00 PAWHUSKA HOSPITAL INC. (Active)
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Main Details
Name
PAWHUSKA HOSPITAL INC.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371309-00
Medicare Provider Number
371309
Additional Details
Current Program Status
Active
Registration Date
10/14/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/16/2019
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Pawhuska Hospital, Inc.
Jason Timothy McBride, Administrator
(918) 287-3232
Primary Contact
Cohesive Healthcare Management & Consulting
Miranda Walz-Allen, Project Manager
(620) 213-2125
Addresses
Street Address
1101 E 15th St
PAWHUSKA, OK 74056
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start date 10/1/2018, Terminated 10/1/2019, Reinstatement 1/1/2020
10/16/2019
Participated starting 10/1/2011; Terminated 10/1/2016; Reinstated 10/1/2018.
07/06/2018
April 2025
April 2025
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