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CAH111302-00 Bleckley County Hospital DBA Bleckley Memorial Hospital (Active)
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Main Details
Name
Bleckley County Hospital DBA Bleckley Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH111302-00
Medicare Provider Number
111302
Additional Details
Current Program Status
Active
Registration Date
9/13/2011
Participating Start Date
1/1/2012
Participating Approval Date
11/3/2011
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Bleckley Memorial Hospital
John Roland, COO
(478) 934-6211 Ext: 1304
Primary Contact
Bleckley Memorial Hospital
Michele Cranford, Pharmacy Director
(478) 934-6211
Addresses
Street Address
145 E Peacock St
Cochran, GA 31014
Billing Address
Bleckley County Hospital
P.O.Box 536
Cochran, GA 31014
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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