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DSH260061H NEVADA CITY HOSPITAL (Active)
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Main Details
Name
NEVADA CITY HOSPITAL
Subdivision Name
NEVADA CITY HOSPITAL / Primary Care Clinic / Rural Health Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260061H
Medicare Provider Number
260061
Outpatient Facility Provider Number
268737
Additional Details
Current Program Status
Active
Registration Date
1/5/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/15/2017
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Nevada City Hospital
Jason Anglin, CEO
(417) 448-3626
Primary Contact
Nevada City Hospital
JODEE Elizabeth MASHEK, PHARMACY DIRECTOR
(417) 448-3649
Addresses
Street Address
627 S ASH ST STE. B
NEVADA REGIONAL PRIMARY CARE
NEVADA, MO 64772-3279
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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