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CAH291304-00 PERSHING GENERAL HOSPITAL (Active)
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Main Details
Name
PERSHING GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH291304-00
Medicare Provider Number
291304
Additional Details
Current Program Status
Active
Registration Date
7/11/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/4/2019
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Pershing General Hospital
Brandon Chadock, CEO
(775) 273-2621 Ext: 1001
Primary Contact
Pershing General Hospital
Bobbette Hampton, Executive Assistant
(775) 273-2621 Ext: 1002
Addresses
Street Address
855 6TH STREET
LOVELOCK, NV 89419
Billing Address
Pershing General Hospital
PO Box 661
Lovelock, NV 89419
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (10/1/2015) until terminated effective date: (1/1/2018), reinstatement effective date: (10/011/2019)
07/19/2019
June 2025
June 2025
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