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CAH181310-00 CARROLL COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
CARROLL COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181310-00
Medicare Provider Number
181310
Additional Details
Current Program Status
Active
Registration Date
5/27/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/27/2011
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Carroll Co Hospital
Kimberly Haverly, CEO
(502) 732-3275
Primary Contact
Carroll County Memorial Hospital
Herbert Alfred Hunter, Director of Pharmacy
(502) 732-3207
Addresses
Street Address
309 11TH STREET
CARROLLTON, KY 41008
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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