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CAH191301-00 UNION GENERAL HOSPITAL (Active)
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Main Details
Name
UNION GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH191301-00
Medicare Provider Number
191301
Additional Details
Current Program Status
Active
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/27/2014
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Union General Hospital
Dianne Davidson, CHIEF EXECUTIVE OFFICER
(318) 368-7066
Primary Contact
UGH
Amanda Whiddon, COO
(318) 368-6512
Addresses
Street Address
901 JAMES AVE
FARMERVILLE, LA 71241
Billing Address
UNION GENERAL HOSPITAL
P O BOX 398
FARMERVILLE, LA 71241
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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