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CAH261313-00 Macon County Samaritan Memorial Hospital (Active)
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Main Details
Name
Macon County Samaritan Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261313-00
Medicare Provider Number
261313
Additional Details
Current Program Status
Active
Registration Date
7/30/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/20/2012
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Samaritan Hospital
Jill Williams, CEO
(660) 385-8716
Primary Contact
Samaritan Hospital
Carli Taylor, Accountant
(660) 395-8604
Addresses
Street Address
1205 N. Missouri St.
Macon, MO 63552
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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