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CAH361334-00 ADENA PIKE MEDICAL CENTER (Active)
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Main Details
Name
ADENA PIKE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH361334-00
Medicare Provider Number
361334
Additional Details
Current Program Status
Active
Registration Date
10/7/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/11/2014
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
100 DAWN LANE
WAVERLY, OH 45690
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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