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CAH371311-00 JEFFERSON COUNTY HOSPITAL (Active)
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Main Details
Name
JEFFERSON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371311-00
Medicare Provider Number
371311
Additional Details
Current Program Status
Active
Registration Date
10/17/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/28/2016
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
DRH Health
Roger Neal, VP-COO
(580) 606-9169
Primary Contact
Duncan Regional Hospital
Dana Strawn Berryhill, Director of Pharmacy
(580) 251-8784
Addresses
Street Address
9170 US Hwy 70
INTERSECTION HWY 70 & 81
WAURIKA, OK 73573
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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