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CAH061315-00 YUMA DISTRICT HOSPITAL (Active)
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Main Details
Name
YUMA DISTRICT HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH061315-00
Medicare Provider Number
061315
Additional Details
Current Program Status
Active
Registration Date
7/22/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/23/2015
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Yuma District Hospital
Marci J. Givens, CNO
(970) 848-4679
Primary Contact
Yuma District Hospital
Alison Hisam, RN
(970) 848-4672
Addresses
Street Address
1000 WEST 8TH AVENUE
YUMA, CO 80759
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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