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CAH281362-00 Phelps Memorial Health Center (Active)
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Main Details
Name
Phelps Memorial Health Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281362-00
Medicare Provider Number
281362
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
8/18/2024
Contacts
Authorizing Official
Phelps Memorial Health Center
Loren Schroder, CFO
(308) 995-2211
Primary Contact
Phelps Memorial Health Center
Tyler J Fries, Director of Pharmacy
(308) 995-2926
Addresses
Street Address
1215 tibbals st
Holdrege, NE 68949
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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