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CAH061325-00 PIONEERS MEDICAL CENTER (Active)
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Main Details
Name
PIONEERS MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061325-00
Medicare Provider Number
061325
Additional Details
Current Program Status
Active
Registration Date
10/2/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/9/2024
Last Recertification Date
Contacts
Authorizing Official
PIoneers Medical Center
Liz Sellers, CEO
(970) 878-9260
Primary Contact
Pioneers Medical Center
Stephanie A McDonald, Pharmacist
(970) 878-9701
Addresses
Street Address
100 PIONEERS MEDICAL CENTER DRIVE
MEEKER, CO 81641
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date7/1/2015, Termination date 10/1/2024, Reinstatement 1/1/2025
10/08/2024
April 2025
April 2025
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