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SCH450144-00 Andrews Co Hospital District dba Permian Regional Medical Center (Active)
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Main Details
Name
Andrews Co Hospital District dba Permian Regional Medical Center
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH450144-00
Medicare Provider Number
450144
Additional Details
Current Program Status
Active
Registration Date
4/15/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/20/2013
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Permian Regional Medical Center
Morgan Mason, CFO
(432) 464-2107
Primary Contact
Andrews County Hospital District
Carrie Hernandez, pharmacy tech
(432) 464-2289
Addresses
Street Address
720 Hospital Drive
Andrews, TX 79714
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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