340B Drug Pricing Program Database
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CAH261308-00 Washington County Memorial Hospital (Active)
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Main Details
Name
Washington County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261308-00
Medicare Provider Number
261308
Additional Details
Current Program Status
Active
Registration Date
1/17/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/5/2012
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Washington County Memorial Hospital
Debra A Pratt, Chief Financial Officer
(573) 438-5451 Ext: 771
Primary Contact
Washington County Memorial Hospital
KAREN GROVES, 340B Coordinator
(573) 438-5451 Ext: 355
Addresses
Street Address
300 Health Way
Potosi, MO 63664
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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