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CAH171353-00 Phillips County Hospital Oper (Active)
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Main Details
Name
Phillips County Hospital Oper
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171353-00
Medicare Provider Number
171353
Additional Details
Current Program Status
Active
Registration Date
8/31/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Phillips County Health Systems
Tara Overmiller, CEO
(785) 540-4925
Primary Contact
Phillips County Hospital
Nancy J Molzahn, Pharmacy Director
(785) 540-4936
Addresses
Street Address
1150 State St
Phillipsburg, KS 67661-1743
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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