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CAH171319-02 Rural Health Resources of Jackson County, Inc. d/b/a Holton Community Hospital (Active)
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Main Details
Name
Rural Health Resources of Jackson County, Inc. d/b/a Holton Community Hospital
Subdivision Name
Hoyt Family Medicine
Type
Critical Access Hospital
Rural
No
340B ID
CAH171319-02
Medicare Provider Number
171319
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/22/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Rural Health Resources of Jackson County
Carrie Lutz, CEO
(785) 364-9645
Primary Contact
Holton Community Hospital
Montana Coleman, Pharmacy Manager
(785) 364-9689
Addresses
Street Address
117 West 3rd
Hoyt, KS 66440
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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