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CAH331309-00 River Hospital, Inc. (Active)
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Main Details
Name
River Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH331309-00
Medicare Provider Number
331309
Additional Details
Current Program Status
Active
Registration Date
1/9/2014
Participating Start Date
4/1/2014
Participating Approval Date
3/10/2014
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
River Hospital
Kelley M Tiernan, Chief Financial Officer
(315) 323-4970
Primary Contact
River Hospital
Cathy Tillman, Assoc. Administrator
(315) 482-1101
Addresses
Street Address
4 Fuller Street
Alexandria Bay, NY 13607
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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