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CAH281349-04 PENDER COMMUNITY HOSPITAL (Active)
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Main Details
Name
PENDER COMMUNITY HOSPITAL
Subdivision Name
Pender Medical Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281349-04
Medicare Provider Number
281349
Outpatient Facility Provider Number
288526
Additional Details
Current Program Status
Active
Registration Date
10/15/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/5/2014
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Pender Community Hospital
Laura Gamble, CEO
(402) 385-4012
Primary Contact
Pender Community Hospital
Shane Michael Schuster, 340b Coordinator
(402) 385-3350
Addresses
Street Address
958 Wellness Way, Suite 1
Pender, NE 68047
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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