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CAH451313-00 FISHER COUNTY HOSPITAL DISTRICT (Active)
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Main Details
Name
FISHER COUNTY HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451313-00
Medicare Provider Number
451313
Additional Details
Current Program Status
Active
Registration Date
7/15/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/16/2016
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Fisher County Hospital District
Leanne Martinez, CEO
(325) 735-2256 Ext: 284
Primary Contact
Fisher County Hosptial
Erin French, Pharmacist
(325) 735-2256 Ext: 272
Addresses
Street Address
774 STATE HIGHWAY 70
ROTAN, TX 79546
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/16/16 Participating 10/1/2012 until terminated effective 10/1/2013, reinstated effective 10/1/2016.
08/16/2016
April 2025
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