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CAH361318-00 Fostoria Community Hospital (Active)
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Main Details
Name
Fostoria Community Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361318-00
Medicare Provider Number
361318
Additional Details
Current Program Status
Active
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/6/2013
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
ProMedica
Ken Swint, CFO
(419) 436-6648
Primary Contact
Promedica Health Systems
Devan Matthew Ribley, Lead 340B Analyst
(567) 585-0154
Addresses
Street Address
501 Van Buren Street
Fostoria, OH 44830
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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