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CAH051316-00 Fairchild Medical Center (Active)
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Main Details
Name
Fairchild Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH051316-00
Medicare Provider Number
051316
Additional Details
Current Program Status
Active
Registration Date
4/15/2013
Participating Start Date
7/1/2013
Participating Approval Date
4/23/2013
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Fairchild Medical Center
Kelly Martin, CFO
(530) 841-6235
Primary Contact
Fairchild Medical Center
Cheryl Lynn Freckman, Financial Systems Manager
(530) 841-6306
Addresses
Street Address
444 Bruce St
Yreka, CA 96097
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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