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CAH451373-00 Ward Memorial Hospital (Active)
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Main Details
Name
Ward Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451373-00
Medicare Provider Number
451373
Additional Details
Current Program Status
Active
Registration Date
8/29/2011
Participating Start Date
7/1/2014
Participating Approval Date
9/20/2011
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Ward Memorial Hospital
Leticia C. Rodriguez, CEO
(432) 943-2511 Ext: 176
Primary Contact
Ward Memorial Hospital
Corina Subia, Controller
(432) 943-2511 Ext: 178
Addresses
Street Address
406 S Gary St
Monahans, TX 79756-0040
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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CE reinstated effective 7/1/2014; was participating from 10/01/2011 to 09/30/2013; not participating from 10/1/2013 to 6/30/2014 due to site failure to recertify.
06/16/2014
April 2025
April 2025
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