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CAH451314-00 Winkler County Hospital District (Active)
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Main Details
Name
Winkler County Hospital District
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451314-00
Medicare Provider Number
451314
Additional Details
Current Program Status
Active
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/28/2015
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Winkler County Hospital District
Gabriela Salgado, Practice Admin
(432) 288-1501
Primary Contact
Winkler County Hospital District
Leticia Fox, CFO
(432) 586-8299
Addresses
Street Address
821 Jeffee Drive
Kermit, TX 79745
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/28/15 previously participating 1/1/12 thru 9/30/14, not participating 10/1/14 thru 6/30/15 due to failure to recertify, reinstated based on registration submitted in April 2015
05/28/2015
April 2025
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