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CAH181310-02 CARROLL COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
CARROLL COUNTY MEMORIAL HOSPITAL
Subdivision Name
Warsaw Family Practice
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181310-02
Medicare Provider Number
181310
Outpatient Facility Provider Number
183486
Additional Details
Current Program Status
Active
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/3/2014
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Carroll Co Hospital
Kimberly Haverly, CEO
(502) 732-3275
Primary Contact
Carroll County Memorial Hospital
Herbert Alfred Hunter, Director of Pharmacy
(502) 732-3207
Addresses
Street Address
302 West Main St.
Warsaw, KY 41095
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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