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CAH041330-01 Piggott Community Hospital (Active)
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Main Details
Name
Piggott Community Hospital
Subdivision Name
Campbell Medical Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041330-01
Medicare Provider Number
041330
Outpatient Facility Provider Number
263405
Additional Details
Current Program Status
Active
Registration Date
1/15/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/28/2014
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Piggott Community Hospital
James Magee., Executive Director
(870) 598-3881 Ext: 1200
Primary Contact
Piggott Community Hospital
Tanya Jordan, Administrative Assistant
(870) 598-3881 Ext: 1201
Addresses
Street Address
413 West Grand Avenue
Campbell, MO 63933-1523
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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