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CAH361331-02 Adena Fayette Medical Center (Active)
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Main Details
Name
Adena Fayette Medical Center
Subdivision Name
Fayette Rural Health Clinic 2
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361331-02
Medicare Provider Number
361331
Outpatient Facility Provider Number
363983
Additional Details
Current Program Status
Active
Registration Date
2/29/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/30/2012
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Adena Health System
Katherine Edrington, Chief Operations Officer
(740) 779-7282
Primary Contact
Adena Health System
Fred Yingling, Director of Pharmacy
(740) 779-7648
Addresses
Street Address
1510 Columbus Ave.
MAB 2 Suite 230
Washington Court House, OH 43160
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/20/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
June 2025
June 2025
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