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CAH241366-00 MEEKER MEMORIAL HOSPITAL (Active)
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Main Details
Name
MEEKER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241366-00
Medicare Provider Number
241366
Additional Details
Current Program Status
Active
Registration Date
6/14/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/11/2011
Last Recertification Date
9/1/2024
Contacts
Authorizing Official
Meeker Memorial Hospital
Tyler Ulseth, CFO
(320) 693-4500 Ext: 4512
Primary Contact
Meeker Memorial Hospital
Brent Kosel, Pharmacy Director
(320) 693-4500 Ext: 4539
Addresses
Street Address
612 SOUTH SIBLEY AVENUE
LITCHFIELD, MN 55355
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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