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CAH181325-00 JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC. D/B/A JANE TODD CRAWFORD HOSPITAL (Active)
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Main Details
Name
JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC. D/B/A JANE TODD CRAWFORD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181325-00
Medicare Provider Number
181325
Additional Details
Current Program Status
Active
Registration Date
6/14/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/17/2011
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
CAH
Richard John Hendershot, CFO
(270) 932-9696 Ext: 25
Primary Contact
Jane Todd Crawford Memoral Hospital
Christopher Dudgeon, Assistant Chief Financial Officer
(270) 932-9696 Ext: 30
Addresses
Street Address
290 Industrial Park Road
GREENSBURG, KY 42743
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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