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CAH451315-01 NORTH RUNNELS HOSPITAL DISTRICT (Active)
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Main Details
Name
NORTH RUNNELS HOSPITAL DISTRICT
Subdivision Name
North Runnels Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451315-01
Medicare Provider Number
451315
Outpatient Facility Provider Number
458865
Additional Details
Current Program Status
Active
Registration Date
4/13/2018
Participating Start Date
7/1/2018
Participating Approval Date
6/4/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
North Runnels Hospital
Elaine Thomas, CFO
(325) 754-1317
Primary Contact
North Runnels Hospital
Trace George, Interim CEO
(325) 754-1500
Addresses
Street Address
7571 State Hwy 153
Winters, TX 79567
Billing Address
NORTH RUNNELS HOSPITAL DISTRICT
P.O. BOX 185
Winters, TX 79567
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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CAH451315-01 Reinstatment Participating from 10/1/2016, until terminated effective date: 1/1/2018, reinstatement date effective date: 07/01/2018
06/04/2018
April 2025
April 2025
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