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CAH361325-07 GALION COMMUNITY HOSPITAL (Active)
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Main Details
Name
GALION COMMUNITY HOSPITAL
Subdivision Name
Rural Health Clinic - Seltzer Street (RHC 330)
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361325-07
Medicare Provider Number
361325
Outpatient Facility Provider Number
363992
Additional Details
Current Program Status
Active
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
8/30/2013
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Avita Health System
ERIC DRAIME, CHIEF FINANCIAL OFFICER
(419) 468-0501
Primary Contact
Avita Health System
Christina Barnes, Director of Pharmacy
(419) 468-0541
Addresses
Street Address
330 N. Seltzer Street
Crestline, OH 44827
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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