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CAH281304-03 Thayer County Memorial Hospital dba Thayer County Health Services (Terminated)
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Main Details
Name
Thayer County Memorial Hospital dba Thayer County Health Services
Subdivision Name
Chester Medical Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281304-03
Medicare Provider Number
281304
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/26/2013
Last Recertification Date
8/20/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
Thayer County Health Services
Scott Cook, Interim CEO
(402) 768-4614
Primary Contact
Thayer County Health Services
Michael Wayne Logsdon, Director of Pharmacy
(402) 768-4611
Addresses
Street Address
116 Huron Street
Chester, NE 68327
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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