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CAH361302-06 TRINITY HOSPITAL TWIN CITY (Terminated)
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Main Details
Name
TRINITY HOSPITAL TWIN CITY
Subdivision Name
TMG Coshocton 2
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361302-06
Medicare Provider Number
361302
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2014
Participating Start Date
1/1/2015
Participating Approval Date
11/19/2014
Last Recertification Date
8/23/2021
Termination Date
Termination Reason
10/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Trinity Health System
Dave Werkin, CFO
(740) 264-8695
Primary Contact
Trinity Hospital Twin City
ERIC DURBIN, PHARMACIST
(740) 922-2800 Ext: 2286
Addresses
Street Address
435 Walnut Street
Ste 2
Coshocton, OH 43812-1533
Billing Address
Trinity Hospital Twin City
819 N 1st St
Dennison, OH 44621-1003
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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