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SCH170023-02 St. Catherine Hospital - Garden City (Active)
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Main Details
Name
St. Catherine Hospital - Garden City
Subdivision Name
Wound Care Clinic
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH170023-02
Medicare Provider Number
170023
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/11/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/9/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
CommonSpirit Health
Shawna Roark, VP of Finance & CFO
(620) 272-2551
Primary Contact
CommonSpirit Health
Samantha Morgan, System Manager, 340B Mountain Region
(303) 673-7380
Addresses
Street Address
310 E Walnut St
Garden City, KS 67846
Billing Address
CommonSpirit Health
PO Box 372660
Denver, CO 80237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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