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CAH171382-00 Atchison Hospital Association (Active)
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Main Details
Name
Atchison Hospital Association
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171382-00
Medicare Provider Number
171382
Additional Details
Current Program Status
Active
Registration Date
9/6/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/3/2012
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Amberwell Atchison Association
Chase Dudzinski, CFO
(913) 360-5586
Primary Contact
Atchison Hospital
Sarah J. Noll, Director of Pharmacy
(913) 367-2131 Ext: 5326
Addresses
Street Address
DBA: Amberwell Atchison Association
800 Raven Hill Drive
Atchison, KS 66002
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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