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CAH061327-00 Southwest Memorial Hospital (Active)
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Main Details
Name
Southwest Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061327-00
Medicare Provider Number
061327
Additional Details
Current Program Status
Active
Registration Date
2/9/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/15/2012
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Southwest Health System970-560-4956
Heather J Frazier, Southwest Memorial Hospital Controller
(970) 564-2117
Primary Contact
Southwest Health System
Kelsey Gilbert, Director of Pharmacy
(970) 564-2194
Addresses
Street Address
1311 North Mildred
Cortez, CO 81321
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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