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CAH131307-00 Weiser Valley Hospital District, dba Weiser Memorial Hospital (Active)
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Main Details
Name
Weiser Valley Hospital District, dba Weiser Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH131307-00
Medicare Provider Number
131307
Additional Details
Current Program Status
Active
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/1/2013
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Weiser Memorial Hospital
Steve Hale, CEO
(208) 549-4450
Primary Contact
Weiser Memorial Hospital
Pamela Stampfli, CFO
(208) 549-4409
Addresses
Street Address
645 East 5th Street
Weiser, ID 83672
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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