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CAH451345-00 Crosbyton Clinic Hospital (Terminated)
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Main Details
Name
Crosbyton Clinic Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451345-00
Medicare Provider Number
451345
Additional Details
Current Program Status
Terminated
Registration Date
11/30/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/13/2011
Last Recertification Date
8/21/2019
Termination Date
Termination Reason
10/1/2020
Failure to recertify
Contacts
Authorizing Official
Crosbyton Clinic Hopsital
Debra Miller, Administrator
(806) 675-8700
Primary Contact
Crosbyton Clinic Hospital
Debbie Tue, Director
(806) 675-8700 Ext: 290
Addresses
Street Address
710 West Main Street
Crosbyton, TX 79322
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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