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CAH451370-00 Fannin County Hospital Authority (Active)
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Main Details
Name
Fannin County Hospital Authority
Subdivision Name
TMC Bonham Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451370-00
Medicare Provider Number
451370
Additional Details
Current Program Status
Active
Registration Date
1/7/2014
Participating Start Date
4/1/2014
Participating Approval Date
3/14/2014
Last Recertification Date
9/11/2024
Contacts
Authorizing Official
North Texas Medical Center
Christopher Zeringue, Interim CEO
(940) 612-8616
Primary Contact
TMC Bonham Hospital
Kapil K Bhambhani, rph
(903) 640-7356
Addresses
Street Address
504 Lipscomb St
Bonham, TX 75418
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Last Recertification date 9/16/2020
09/16/2020
June 2025
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