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CAH351322-01 ASHLEY MEDICAL CENTER (Active)
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Main Details
Name
ASHLEY MEDICAL CENTER
Subdivision Name
ASHLEY MEDICAL CENTER / Ashley Medical Center AMC Ashley Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH351322-01
Medicare Provider Number
351322
Outpatient Facility Provider Number
353423
Additional Details
Current Program Status
Active
Registration Date
7/2/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/14/2015
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Ashley Medical Center
Corey Ulmer, CFO
(701) 288-3433
Primary Contact
Ashley Medical Center
Eric Heupel, Administrator
(701) 288-3433 Ext: 269
Addresses
Street Address
612 CENTER AVE N
AMC CLINIC
ASHLEY, ND 58413-7013
Billing Address
AMC Ashley Clinic
PO Box 450
612 Center Avenue North
Ashley, ND 58413-0450
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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