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CAH261338-00 MERCY HOSPITAL CARTHAGE (Active)
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Main Details
Name
MERCY HOSPITAL CARTHAGE
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261338-00
Medicare Provider Number
261338
Additional Details
Current Program Status
Active
Registration Date
4/9/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/21/2015
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Mercy
Sherry Clouse Day, VP Finance - Mercy CAH
(417) 820-8439
Primary Contact
Mercy Shared Services
Mike Loftus, Director-Hospital Pharmacy
(417) 820-3487
Addresses
Street Address
3125 DR RUSSELL SMITH WAY
CARTHAGE, MO 64836
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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