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CAH451303-00 LIMESTONE MEDICAL CENTER (Active)
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Main Details
Name
LIMESTONE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451303-00
Medicare Provider Number
451303
Additional Details
Current Program Status
Active
Registration Date
4/3/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/9/2019
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Limestone Medical Center
Larry N. Price, CEO/ADMINISTRATOR
(254) 729-3281 Ext: 2100
Primary Contact
South Limestone Hospital District
Julie Wilson, CCO
(254) 729-3281 Ext: 2131
Addresses
Street Address
701 MCCLINTIC DR
GROESBECK, TX 76642
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2012, terminated 10/1/2015. Reinstated 7/1/2019.
04/22/2019
May 2025
May 2025
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