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CAH451352-00 HARDEMAN COUNTY HOSPITAL (Active)
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Main Details
Name
HARDEMAN COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451352-00
Medicare Provider Number
451352
Additional Details
Current Program Status
Active
Registration Date
4/3/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/10/2019
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Hardeman County Memorial Hospital
Dennis Thomas, CEO
(940) 663-2795
Primary Contact
Hardeman County Memorial Hospital
Tracy Betts, CFO
(940) 663-2795 Ext: 137
Addresses
Street Address
402 MERCER ST
QUANAH, TX 79252
Billing Address
Hardeman County Memorial Hospital
PO Box 90
Quanah, TX 79252
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date (1/1/2013) until terminated effective date (10/1/2015), reinstatement date (07/01/2019), reviewed signed MCR OK to approve
04/10/2019
April 2025
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