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CAH101307-00 Holmes County Hospital Corp d/b/a Doctors Memorial Hospital (Active)
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Main Details
Name
Holmes County Hospital Corp d/b/a Doctors Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH101307-00
Medicare Provider Number
101307
Additional Details
Current Program Status
Active
Registration Date
10/10/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/7/2013
Last Recertification Date
9/16/2024
Contacts
Authorizing Official
Doctors Memorial Hospital
JoAnn Baker, Administrator
(850) 547-8001
Primary Contact
Holmes County Hospital Corp d/b/a Doctors Memorial Hospital
Warren Bailey, Pharmacist/Pharmacy Director
(850) 547-8095
Addresses
Street Address
2600 Hospital Drive
Bonifay, FL 32425-4264
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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