340B Drug Pricing Program Database
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CAH261332-00 Carroll County Memorial Hospital (Active)
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Main Details
Name
Carroll County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261332-00
Medicare Provider Number
261332
Additional Details
Current Program Status
Active
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/22/2013
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Carroll County Memorial Hospital
Charles Blake Riley, Chief Operations Officer
(660) 542-1695 Ext: 3972
Primary Contact
Carroll County Memorial Hospital
Carson Josephine Pyle, Pharmacy 340B Cordinator
(660) 542-1695 Ext: 3617
Addresses
Street Address
1502 N Jefferson
Carrollton, MO 64633
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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