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SCH450489-01 Dawson County Hospital District dba Medical Arts Hospital (Terminated)
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Main Details
Name
Dawson County Hospital District dba Medical Arts Hospital
Subdivision Name
Dawson County Hospital District dba Medical Arts Clinic
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH450489-01
Medicare Provider Number
450489
Outpatient Facility Provider Number
453466
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/13/2013
Last Recertification Date
8/31/2020
Termination Date
Termination Reason
1/1/2021
DSH percentage below statutory minimum
Contacts
Authorizing Official
Medical Arts Hospital
Letha Joy Stokes, CEO
(806) 872-5727 Ext: 2010
Primary Contact
Medical Arts Hospital
Jo Beth Smith, COO
(806) 872-5727 Ext: 2011
Addresses
Street Address
2202 N. Bryan
Lamesa, TX 79331
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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