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CAH281348-00 Cambridge Memorial Hospital Inc. DBA Tri Valley Health System (Active)
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Main Details
Name
Cambridge Memorial Hospital Inc. DBA Tri Valley Health System
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281348-00
Medicare Provider Number
281348
Additional Details
Current Program Status
Active
Registration Date
10/9/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/3/2013
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Cambridge Memorial Hospital Inc, DBA Tri Valley Health System
Clay Jordan, Interim CEO
(308) 697-1130
Primary Contact
Cambridge Memorial Hospital Inc, DBA Tri Valley Health System
Cristin Soucie, Pharmacy Director
(308) 697-1460
Addresses
Street Address
1305 West Hwy 6 & 34
Cambridge, NE 69022
Billing Address
Cambridge Memorial Hospital Inc, DBA Tri Valley Health System
PO Box 488
Cambridge, NE 69022
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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