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CAH341326-08 ANGEL MEDICAL CENTER (Terminated)
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Main Details
Name
ANGEL MEDICAL CENTER
Subdivision Name
Mission Women's Care Sylva / RHC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH341326-08
Medicare Provider Number
341326
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/20/2016
Last Recertification Date
9/1/2016
Termination Date
Termination Reason
1/1/2018
Other
Contacts
Authorizing Official
Angel Medical Center
Karen Gorby, President & CNO
(828) 369-4232
Primary Contact
Angel Medical Center
Debby Cowan, Pharmacy Manager
(828) 349-6851
Addresses
Street Address
111 CENTRAL STREET
SYLVA, NC 28779-5412
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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