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CAH171355-00 Trego County Lemke Memorial Hospital (Active)
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Main Details
Name
Trego County Lemke Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171355-00
Medicare Provider Number
171355
Additional Details
Current Program Status
Active
Registration Date
1/14/2013
Participating Start Date
4/1/2014
Participating Approval Date
1/22/2013
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Trego County Lemke Memorial Hospital
Christine Adams-Cleland, CFO
(785) 743-2182 Ext: 272
Primary Contact
Trego County Lemke Memorial Hospital
Angela Sue Wilds, R.N., Director of Pharmacy
(785) 743-2182 Ext: 118
Addresses
Street Address
320 N. 13th Street
Wakeeney, KS 67672-2002
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/13/14- CE reinstated starting 04/01/14, was participating 04/01/13 to 09/30/2013, not participating 10/1/2013 to 03/31/2014 due to failure to recertify;
03/13/2014
April 2025
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