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CAH171347-00 SHERIDAN COUNTY HOSPITAL (Active)
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Main Details
Name
SHERIDAN COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH171347-00
Medicare Provider Number
171347
Additional Details
Current Program Status
Active
Registration Date
4/14/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/19/2015
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Sheridan County Hospital
Chad Koster, CEO
(785) 675-3281
Primary Contact
Sheridan County Hospital
Leisha Jones, Pharmacy Director
(785) 677-4162
Addresses
Street Address
826 18TH STREET
HOXIE, KS 67740-0167
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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