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CAH351303-00 Garrison Memorial Hospital (Active)
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Main Details
Name
Garrison Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH351303-00
Medicare Provider Number
351303
Additional Details
Current Program Status
Active
Registration Date
8/23/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Commonspirit Health
Stephanie Kaul, Controller
(701) 530-8899
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
407 3rd Ave SE
Garrison, ND 58540
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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