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CAH261306-00 SULLIVAN COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
SULLIVAN COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH261306-00
Medicare Provider Number
261306
Additional Details
Current Program Status
Active
Registration Date
7/14/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/21/2015
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Sullivan County Memorial Hospital
Martha Gragg, CEO
(660) 265-4212 Ext: 610
Primary Contact
Sullivan County Memorial Hospital
Amy Michael, COO
(660) 265-4212
Addresses
Street Address
630 WEST THIRD STREET
MILAN, MO 63556
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/21/15 Participated starting 4/1/2011, terminated 10/1/2014 due to internal business decision (hospital not utilizing 340B program), reinstated based on new registration submitted in July 2015
07/21/2015
April 2025
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