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CAH371323-01 WEATHERFORD HOSPITAL AUTHORITY (Terminated)
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Main Details
Name
WEATHERFORD HOSPITAL AUTHORITY
Subdivision Name
WHR CONVENIENT CARE CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371323-01
Medicare Provider Number
371323
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/9/2018
Participating Start Date
5/10/2018
Participating Approval Date
5/10/2018
Last Recertification Date
8/15/2018
Termination Date
Termination Reason
10/1/2019
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Weatherford Regional Hospital
Brian Denton, CEO
(580) 772-5551 Ext: 750
Primary Contact
Weatherford Regional Hospital
Shauna Rhoads, Director Business Services
(580) 772-5551 Ext: 778
Addresses
Street Address
215 N KANSAS ST
WEATHERFORD, OK 73096-5443
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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