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CAH281357-00 Cheyenne County Hospital Association, Inc. DBA Sidney Regional Medical Center (Active)
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Main Details
Name
Cheyenne County Hospital Association, Inc. DBA Sidney Regional Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281357-00
Medicare Provider Number
281357
Additional Details
Current Program Status
Active
Registration Date
8/29/2011
Participating Start Date
1/1/2012
Participating Approval Date
11/10/2011
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Cheyenne County Hospital Association
Jason Petik, CEO
(308) 254-5070
Primary Contact
Sidney Regional Medical Center
Julie Ann Slagle, Vice President Patient Care Services
(308) 254-7268 Ext: 1425
Addresses
Street Address
1000 Pole Creek Crossing
Sidney, NE 69162
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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