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CAH511303-00 Minnie Hamilton Health Care Center, INC (Active)
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Main Details
Name
Minnie Hamilton Health Care Center, INC
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH511303-00
Medicare Provider Number
511303
Additional Details
Current Program Status
Active
Registration Date
1/7/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/27/2014
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Minnie Hamilton Health Care Center, Inc
Stephen Whited, CEO
(304) 354-9244 Ext: 5183
Primary Contact
Minnie Hamilton Health Care Center, Inc
Matthew Alan Siwicki, Pharmacist
(304) 354-9244 Ext: 5127
Addresses
Street Address
186 Hospital Dr
Grantsville, WV 26147-7100
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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