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CAH281342-01 SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's (Active)
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Main Details
Name
SAINT MARY'S HOSPITAL d/b/a CHI Health St Mary's
Subdivision Name
Nebraska City Medical Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281342-01
Medicare Provider Number
281342
Outpatient Facility Provider Number
283859
Additional Details
Current Program Status
Active
Registration Date
4/15/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/1/2013
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
CHI Health St. Mary's
Daniel J DeFreece, Interim President
(402) 873-3321
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
1301 Grundman BLVD
Suite A
Nebraska City, NE 68410
Billing Address
CHI Health St. Mary's
PO Box 70
Nebraska City, NE 68410
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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