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CAH451322-00 Grimes St. Joseph Health Center (Active)
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Main Details
Name
Grimes St. Joseph Health Center
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451322-00
Medicare Provider Number
451322
Additional Details
Current Program Status
Active
Registration Date
10/12/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/24/2012
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
St. Joseph Regional Health Center
Erin Marietta, VP Operations
(443) 956-3099
Primary Contact
St. Joseph Regional Health Center
Kimberly Feese, Market Director Pharmacy
(979) 776-2506
Addresses
Street Address
210 S. Judson St
Navasota, TX 77868
Billing Address
Grimes St. Joseph Health Center
PO BOX 2400
Phoenix, AZ 85002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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