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CAH521330-00 Prairie du Chien Memorial Hospital Association, Inc. (Active)
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Main Details
Name
Prairie du Chien Memorial Hospital Association, Inc.
Subdivision Name
d/b/a Crossing Rivers Health
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521330-00
Medicare Provider Number
521330
Additional Details
Current Program Status
Active
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/11/2014
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Crossing Rivers Health
Christopher Howard Brophy, Chief Executive Officer
(608) 357-2405
Primary Contact
Crossing Rivers Health
Victoria Varo, Director of Pharmacy
(608) 357-2209
Addresses
Street Address
37868 US Highway 18
Prairie du Chien, WI 53821
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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