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CAH351313-00 SOUTHWEST HEALTHCARE SERVICES (Active)
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Main Details
Name
SOUTHWEST HEALTHCARE SERVICES
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH351313-00
Medicare Provider Number
351313
Additional Details
Current Program Status
Active
Registration Date
1/12/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/14/2016
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Southwest Healthcare Services
Amanda Jane Loughman, Chief Financial Officer
(701) 523-4127 Ext: 4127
Primary Contact
Southwest Healthcare Services
Mark Ceglowski, Pharmacist
(701) 523-7178
Addresses
Street Address
802 2ND STREET NW
BOWMAN, ND 58623-0009
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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