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CAH011304-00 Choctaw General Hospital (Active)
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Main Details
Name
Choctaw General Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH011304-00
Medicare Provider Number
011304
Additional Details
Current Program Status
Active
Registration Date
4/9/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/15/2013
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Ochsner Rush Health
David Butler, Chief Financial Officer
(601) 703-3082
Primary Contact
Choctaw General
Anita Ward, Director of Pharmacy
(205) 459-9147
Addresses
Street Address
401 Vanity Fair Lane
Butler, AL 36904
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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