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CAH171313-01 Kearny County Hospital (Active)
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Main Details
Name
Kearny County Hospital
Subdivision Name
FAMILY HEALTH CENTER
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171313-01
Medicare Provider Number
171313
Outpatient Facility Provider Number
178580
Additional Details
Current Program Status
Active
Registration Date
1/9/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/18/2015
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Kearny County Hospital
Marley Lyn Koons, CFO
(620) 355-7111 Ext: 1354
Primary Contact
Kearny County Hospital
Cathy Palacios, 340 Coordinator
(620) 355-7112
Addresses
Street Address
506 E THORPE ST
LAKIN, KS 67860-9625
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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