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CAH341326-02 Angel Medical Center (Terminated)
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Main Details
Name
Angel Medical Center
Subdivision Name
Mission Health Center Franklin - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH341326-02
Medicare Provider Number
341326
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/31/2012
Last Recertification Date
9/6/2018
Termination Date
Termination Reason
4/1/2019
For-Profit conversion
Contacts
Authorizing Official
Angel Medical Center
Karen Gorby, President & CNO
(828) 369-4232
Primary Contact
Mission Health
Alan K. Knudsen, Pharmacy Specialist, 340B Program
(828) 213-4213
Addresses
Street Address
190 Riverview Street
Franklin, NC 28734
Billing Address
Angel Medical Center
120 Riverview St.
Franklin, NC 28734
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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