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CAH451335-00 MUENSTER MEMORIAL HOSPITAL (Active)
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Main Details
Name
MUENSTER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451335-00
Medicare Provider Number
451335
Additional Details
Current Program Status
Active
Registration Date
10/4/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/17/2016
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Muenster Hospital District
Marion Bruce, CEO
(940) 759-6181
Primary Contact
Muenster Memorial Hospital
Kim Gobble, Director of Pharmacy
(940) 759-2271
Addresses
Street Address
605 N. MAPLE STREET
MUENSTER, TX 76252
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/17/16 Participated starting 9/27/2010, Terminated 10/1/2014, Reinstated 1/1/2017
10/17/2016
April 2025
April 2025
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