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CAH371322-00 BEAVER COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
BEAVER COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371322-00
Medicare Provider Number
371322
Additional Details
Current Program Status
Active
Registration Date
5/10/2011
Participating Start Date
7/1/2011
Participating Approval Date
5/16/2011
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
BCMH
Alissa Schlessman, CHIEF EXECUTIVE OFFICER
(580) 625-4551 Ext: 245
Primary Contact
BCMH
Karla Leisher, Human Resources/Accounts Payable/Payroll Manager
(580) 625-4551 Ext: 243
Addresses
Street Address
212 East 8th Street
BEAVER, OK 73932
Billing Address
BEAVER COUNTY MEMORIAL HOSPITAL
P.O.BOX 640
BEAVER, OK 73932
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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