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DSH370178 ADAIR COUNTY HEALTH CENTER (Active)
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Main Details
Name
ADAIR COUNTY HEALTH CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370178
Medicare Provider Number
370178
Additional Details
Current Program Status
Active
Registration Date
1/15/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/10/2015
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
ADAIR COUNTY HEALTH CENTER INC.
JAMES W CAUSON, PRES & CEO
(918) 696-3101 Ext: 210
Primary Contact
Hospital
Tammy R Paden, Administrative Assistant
(918) 696-3101 Ext: 238
Addresses
Street Address
1401 W. Locust Street
STILWELL, OK 74960
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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