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CAH531309-01 North Big Horn Hospital District (Active)
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Main Details
Name
North Big Horn Hospital District
Subdivision Name
North Big Horn Hospital Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH531309-01
Medicare Provider Number
531309
Outpatient Facility Provider Number
533984
Additional Details
Current Program Status
Active
Registration Date
8/18/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/19/2011
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
North Big Horn Hospital District
Eric Connell, CEO
(307) 548-5200
Primary Contact
North Big Horn Hospital
Gareth Robertson, Pharmacist
(307) 548-5235
Addresses
Street Address
1115 Lane 12
Lovell, WY 82431
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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