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DSH450369B CHILDRESS REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
CHILDRESS REGIONAL MEDICAL CENTER
Subdivision Name
CRMC - Dialysis
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450369B
Medicare Provider Number
450369
Outpatient Facility Provider Number
452385
Additional Details
Current Program Status
Active
Registration Date
7/4/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/7/2016
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Childress Regional Medical Center
Emilee Stratton, CFO
(940) 937-9181
Primary Contact
Childress Regional Medical Center
Nick Patrick Barker, PHARMACIST
(940) 937-9129
Addresses
Street Address
910 Rear Oak Lane
Childress, TX 79201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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