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CAH131324-00 Lost Rivers District Hospital (Active)
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Main Details
Name
Lost Rivers District Hospital
Subdivision Name
Lost Rivers Medical Center
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH131324-00
Medicare Provider Number
131324
Additional Details
Current Program Status
Active
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/22/2013
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Lost Rivers Hospital District
Bradley Huerta, Administrator / CEO
(208) 252-7654 Ext: 701
Primary Contact
Lost Rivers Hospital District
Wade Hampton Flowers, Pharmacist
(208) 252-7654 Ext: 112
Addresses
Street Address
551 Highland Drive
Arco, ID 83213
Billing Address
Lost Rivers Medical Center
P. O. Box 145
Arco, ID 83213
Comments
Medicaid Billing
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Contract Pharmacies
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