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CAH231314-00 McKenzie Memorial Hospital (Active)
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Main Details
Name
McKenzie Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231314-00
Medicare Provider Number
231314
Additional Details
Current Program Status
Active
Registration Date
4/11/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/6/2013
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
McKenzie Memorial Hospital
Amy Ruedisueli, CFO
(810) 648-6162
Primary Contact
McKenzie Memorial Hospital
Colette Osborne, Financial Analyst
(810) 648-6128
Addresses
Street Address
120 Delaware Street
Sandusky, MI 48471
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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