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CAH281322-06 ST. FRANCIS MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
ST. FRANCIS MEMORIAL HOSPITAL
Subdivision Name
FRANCISCAN CARE SERVICES INC - HOOPER MEDICAL CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281322-06
Medicare Provider Number
281322
Outpatient Facility Provider Number
288537
Additional Details
Current Program Status
Terminated
Registration Date
1/10/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/16/2017
Last Recertification Date
8/22/2019
Termination Date
Termination Reason
1/1/2020
Site closure
Contacts
Authorizing Official
St. Francis Memorial Hospital
Alisa Ann Brunsing, CFO
(402) 372-6717
Primary Contact
St. Francis Memorial Hospital
MICHELLE EINFALT, PHARMACY DIRECTOR
(402) 372-6730
Addresses
Street Address
600 E FULTON ST STE A
HOOPER MEDICAL CLINIC
HOOPER, NE 68031-3074
Billing Address
DINKLAGE MEDICAL CLINIC
500 E DECATUR ST
WEST POINT, NE 68788-1566
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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