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CAH261323-01 CEDAR COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
CEDAR COUNTY MEMORIAL HOSPITAL
Subdivision Name
CCMH Medical Mall RHC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261323-01
Medicare Provider Number
261323
Outpatient Facility Provider Number
263474
Additional Details
Current Program Status
Active
Registration Date
7/12/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/11/2013
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Cedar County Memorial Hospital
Terry Wayne Nichols, Chief Executive Officer
(573) 366-4892
Primary Contact
Cedar County Memorial Hospital
Carla Gilbert, CFO
(417) 876-3097
Addresses
Street Address
1317 S. Hwy 32
El Dorado Springs, MO 64744
Billing Address
Cedar County Memorial Hospital
1401 S. Park Street
El Dorado Springs, MO 64744
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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