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CAH341326-05 Angel Medical Center (Terminated)
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Main Details
Name
Angel Medical Center
Subdivision Name
Angel Orthopedics
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH341326-05
Medicare Provider Number
341326
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/23/2013
Last Recertification Date
9/1/2016
Termination Date
Termination Reason
1/1/2018
Other
Contacts
Authorizing Official
Angel Medical Center
Karen Gorby, President & CNO
(828) 369-4232
Primary Contact
Angel Medical Center
Debby Cowan, Pharmacy Manager
(828) 349-6851
Addresses
Street Address
56 Medical Park Drive, Suite 302
Franklin, NC 28734
Billing Address
Angel Medical Center
P.O. Box 1209
Franklin, NC 28744-1209
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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