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CAH251334-00 CHOCTAW REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
CHOCTAW REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH251334-00
Medicare Provider Number
251334
Additional Details
Current Program Status
Active
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/21/2015
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Choctaw Regional Medical Center
Steve Marinelli, CEO
(662) 285-4400
Primary Contact
Choctaw Regional Medical Center
Michael Summers, Director Radiology & 340B
(662) 285-4433
Addresses
Street Address
8613 MS HWY 12
ACKERMAN, MS 39735
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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