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CAH451384-00 D.M. COGDELL MEMORIAL HOSPITAL (Active)
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Main Details
Name
D.M. COGDELL MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451384-00
Medicare Provider Number
451384
Additional Details
Current Program Status
Active
Registration Date
7/5/2016
Participating Start Date
10/1/2016
Participating Approval Date
9/1/2016
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Cogdell Memorial Hospital
Robbie Dewberry, CFO
(325) 574-7439
Primary Contact
Cogdell Memorial Hospital
Brandon Joseph Kopper, Pharmacist in Charge
(325) 574-7422
Addresses
Street Address
1700 COGDELL BLVD
SNYDER, TX 79549
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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