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CAH271331-00 MINERAL COMMUNITY HOSPITAL (Active)
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Main Details
Name
MINERAL COMMUNITY HOSPITAL
Subdivision Name
DBA Mineral Community Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH271331-00
Medicare Provider Number
271331
Additional Details
Current Program Status
Active
Registration Date
7/12/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/3/2019
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
mineral community hospital
Laurel Chambers Haskins, CEO
(406) 822-4841 Ext: 155
Primary Contact
Mineral Community Hospital
Angie Mellen, Pharmacy Tech
(406) 822-4841 Ext: 419
Addresses
Street Address
1208 6TH AVE EAST
SUPERIOR, MT 59872
Billing Address
Mineral Community Hospital
1208 6th Ave East
Superior, MT 59872
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2012; Terminated 10/1/2013; Reinstated 10/1/2019.
09/03/2019
April 2025
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