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CAH281326-00 Antelope Memorial Hospital (Active)
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Main Details
Name
Antelope Memorial Hospital
Subdivision Name
Antelope Memorial Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281326-00
Medicare Provider Number
281326
Additional Details
Current Program Status
Active
Registration Date
8/30/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Antelope Memorial Hospital
Martha Nelson, CFO
(402) 887-6282 Ext: 6282
Primary Contact
Antelope Memorial Hospital
Randee Wright, Pharmacist in Charge
(402) 887-6253
Addresses
Street Address
102 West 9th Street
Neligh, NE 68756-1114
Billing Address
Antelope Memorial Hospital
102 West 9th Street, PO Box 229
Neligh, NE 68756-0229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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