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CAH171367-00 GOVE COUNTY MEDICAL CENTER (Active)
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Main Details
Name
GOVE COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH171367-00
Medicare Provider Number
171367
Additional Details
Current Program Status
Active
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/10/2016
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Gove County Medical Center
Conner Fiscarelli, CEO
(785) 754-3341 Ext: 5155
Primary Contact
Gove County Medical Center
Laura Lynn Cooksey, RN - Pharmacy Nurse
(785) 754-3341 Ext: 5101
Addresses
Street Address
520 WEST 5TH
QUINTER, KS 67752-0129
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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