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CAH131318-00 WALTER KNOX MEMORIAL HOSPITAL (Active)
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Main Details
Name
WALTER KNOX MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH131318-00
Medicare Provider Number
131318
Additional Details
Current Program Status
Active
Registration Date
7/1/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/6/2016
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Walter Knox Memorial Hospital
Brad Turpen, CEO
(208) 999-3870
Primary Contact
Walter Knox Memorial Hospital
Michael Groessinger, Pharmacy Director
(208) 365-3561 Ext: 3244
Addresses
Street Address
1202 EAST LOCUST
EMMETT, ID 83617
Billing Address
WALTER KNOX MEMORIAL HOSPITAL
1024 Fernlee St
Emmett, ID 83617
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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