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CAH051333-05 Ridgecrest Regional Hospital (Active)
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Main Details
Name
Ridgecrest Regional Hospital
Subdivision Name
RHC VI-Orthopedic Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH051333-05
Medicare Provider Number
051333
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/12/2022
Participating Start Date
8/17/2022
Participating Approval Date
8/17/2022
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Ridgecrest Regional Hospital
James Suver, CEO
(760) 499-3902
Primary Contact
Ridgecrest Regional Hospital760-499-3185
Margie Rose, Program Director
(415) 564-9856
Addresses
Street Address
1041 N. China Lake Blvd
Ridgecrest, CA 93555
Billing Address
Ridgecrest Regional Hospital
1081 N. China Lake Blvd
Ridgecrest, CA 93555
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2015; Terminated 4/1/2019; Reinstated 10/1/2022.
08/15/2022
May 2025
May 2025
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