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CAH341317-00 LifeBrite Hospital Group of Stokes, LLC dba LifeBrite Community Hospital of Stokes (Terminated)
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Main Details
Name
LifeBrite Hospital Group of Stokes, LLC dba LifeBrite Community Hospital of Stokes
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH341317-00
Medicare Provider Number
341317
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/25/2014
Last Recertification Date
11/7/2017
Termination Date
Termination Reason
7/1/2018
For-Profit conversion
Contacts
Authorizing Official
LifeBrite Community Hospital of Stokes
Pamela P. Tillman, Administrator
(336) 593-5314
Primary Contact
LifeBrite Community Hospital of Stokes
Kim M Lewis, Pharmacist
(336) 593-5329
Addresses
Street Address
1570 NC 8 & 89 HWY N
Danbury, NC 27016
Billing Address
LifeBrite Hospital Group of Stokes, LLC dba LifeBrite Community Hospital of Stokes
PO Box 10
Danbury, NC 27016-0010
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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