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SCH360109-00 COSHOCTON CTY MEM HOSP (Terminated)
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Main Details
Name
COSHOCTON CTY MEM HOSP
Subdivision Name
Type
Sole Community Hospital
Rural
No
340B ID
SCH360109-00
Medicare Provider Number
360109
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2013
Participating Start Date
10/1/2017
Participating Approval Date
10/29/2013
Last Recertification Date
11/7/2017
Termination Date
Termination Reason
10/1/2018
DSH percentage below statutory minimum
Contacts
Authorizing Official
Coshocton Regional Medical Center
Stephanie Conn, Administrator / Chief Nursing Officer
(740) 623-4344
Primary Contact
Coshocton Regional Medical Center
Doug Bennett, Director of Pharmacy
(740) 623-4032
Addresses
Street Address
1460 ORANGE STREET
COSHOCTON, OH 43812-2229
Billing Address
Coshocton Regional Medical Center
P.O. Box 1330
Coshocton, OH 43812-2229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/3/17 Participating as DSH from 4/1/10 UNTIL 10/1/13, participating as SCH 1/1/2014 until terminated effective date 7/1/2016, reinstatement as SCH effective 10/01/2017;
08/03/2017
03/20/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
May 2025
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