340B Drug Pricing Program Database
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CAH171363-00 Community Memorial Healthcare, Inc (Active)
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Main Details
Name
Community Memorial Healthcare, Inc
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171363-00
Medicare Provider Number
171363
Additional Details
Current Program Status
Active
Registration Date
1/26/2012
Participating Start Date
4/1/2012
Participating Approval Date
2/16/2012
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Community Memorial Healthcare
Curtis R. Hawkinson, CEO
(785) 562-4380
Primary Contact
Community Memorial Healthcare
Paula J Winkler, Director of Pharmacy
(785) 562-4469
Addresses
Street Address
708 N. 18th
Marysville, KS 66508-1338
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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