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CAH281300-02 Harlan County Health System (Terminated)
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Main Details
Name
Harlan County Health System
Subdivision Name
Heartland Family Medicine Oxford Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281300-02
Medicare Provider Number
281300
Outpatient Facility Provider Number
288515
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/12/2014
Last Recertification Date
8/25/2022
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Harlan County Health System
Stacy Lea Neubauer, CEO
(308) 928-3011
Primary Contact
Harlan County Health System
Jessi L Johnson, Pharmacy Manager
(308) 928-2151 Ext: 252
Addresses
Street Address
811 Howell Street
Oxford, NE 68967
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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