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CAH171381-01 Hosp Dist #1 of Dickinson (Active)
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Main Details
Name
Hosp Dist #1 of Dickinson
Subdivision Name
Heartland Healthcare Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171381-01
Medicare Provider Number
171381
Outpatient Facility Provider Number
178563
Additional Details
Current Program Status
Active
Registration Date
8/20/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/23/2012
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Hospital District No. 1 of Dickinson County, KS
Reginald Harold Courtois, CEO
(785) 263-6610
Primary Contact
Hospital District #1 of Dickinson
Lisa Wright, Pharmacist
(785) 263-6682
Addresses
Street Address
511 NE 10th
Abilene, KS 67410
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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