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CAH331303-00 Garnet Health Medical Center - Catskills (Active)
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Main Details
Name
Garnet Health Medical Center - Catskills
Subdivision Name
Grover M Hermann Hospital Division
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH331303-00
Medicare Provider Number
331303
Additional Details
Current Program Status
Active
Registration Date
4/11/2013
Participating Start Date
5/2/2013
Participating Approval Date
5/2/2013
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Garnet Health
James Grigg, CFO
(845) 333-2306
Primary Contact
Garnet Health
Shariyka Wilson, 340B Program Manager
(845) 333-2045
Addresses
Street Address
8881 State Route 97
Callicoon, NY 12723-5052
Billing Address
Grover M Hermann Hospital Division
C/O Garnet Health Medical Center - Catskills, Attention Accounts Payable
707 East Main Street
Middletown, NY 10940
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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