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CAH451324-00 LILLIAN M. HUDSPETH MEMORIAL HOSP. (Active)
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Main Details
Name
LILLIAN M. HUDSPETH MEMORIAL HOSP.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451324-00
Medicare Provider Number
451324
Additional Details
Current Program Status
Active
Registration Date
4/3/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/17/2019
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Sutton County Hospital District
Joe Ray Marshall, CEO
(325) 387-1200
Primary Contact
Lillian M Hudspeth Memorial
Chris A Badgett, CFO
(325) 387-1210
Addresses
Street Address
308 HUDSPETH AVE.
SONORA, TX 76950
Billing Address
SUTTON COUNTY HOSPITAL DISTRICT
P.O. BOX 455
SONORA, TX 76950
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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04/15/19 GO can not be an employee of covered entity, must be city, state, or county GO official not associated with hospital entity, please correct by COB tomorrow: 04/16/19 to avoid registration from being rejected
04/15/2019
Participating from effective date (07/01/2011) until terminated effective date (1/1/2018), reinstatement effective date (07/01/2019)
04/11/2019
April 2025
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