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SCH450489-00 MEDICAL ARTS HOSPITAL (Active)
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Main Details
Name
MEDICAL ARTS HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH450489-00
Medicare Provider Number
450489
Additional Details
Current Program Status
Active
Registration Date
4/8/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/30/2024
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Medical Arts Hospital
Freddy Olivarez, CEO
(806) 872-2183
Primary Contact
Medical Arts Hospital
Jo Beth Smith, COO
(806) 872-5727 Ext: 2011
Addresses
Street Address
2200 NORTH BRYAN AVE.
LAMESA, TX 79331
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (07/01/2013) until terminated effective date: (01/01/2021); Reinstatement effective date: (07/1/2024)
04/26/2024
June 2025
June 2025
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