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CAH531307-00 Community Hospital (Active)
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Main Details
Name
Community Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH531307-00
Medicare Provider Number
531307
Additional Details
Current Program Status
Active
Registration Date
5/16/2012
Participating Start Date
7/1/2012
Participating Approval Date
5/30/2012
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Washakie Medical Center
Jennifer McMillan, Chief Financial Officer
(307) 347-6940
Primary Contact
Community Hospital Torrington
Justus Tyrrell Watters, Associate Director Pharmacy
(307) 534-7206
Addresses
Street Address
2000 Campbell Drive
Torrington, WY 82240
Billing Address
Banner Health Accounts Payable
PO Box 2977
160
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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