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CAH451342-00 MITCHELL COUNTY HOSPITAL DISTRICT (Active)
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Main Details
Name
MITCHELL COUNTY HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451342-00
Medicare Provider Number
451342
Additional Details
Current Program Status
Active
Registration Date
5/31/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/14/2011
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Mitchell County Hospital
Michelle Gafford, CEO
(325) 728-3431 Ext: 7552
Primary Contact
Mitchell County Hospital
Lesli Tomlin, PHARMACIST
(325) 728-3431 Ext: 7597
Addresses
Street Address
997 WEST IH 20
COLORADO CITY, TX 79512
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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