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SCH450539-02 COVENANT HOSPITAL-PLAINVIEW (Terminated)
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Main Details
Name
COVENANT HOSPITAL-PLAINVIEW
Subdivision Name
Motley County Clinic
Type
Sole Community Hospital
Rural
No
340B ID
SCH450539-02
Medicare Provider Number
450539
Outpatient Facility Provider Number
458898
Additional Details
Current Program Status
Terminated
Registration Date
1/16/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/16/2017
Last Recertification Date
Termination Date
Termination Reason
1/1/2018
Other
Contacts
Authorizing Official
Covenant Hospital Plainview
Cassie Mogg, CFO
(806) 296-4265
Primary Contact
Covenant Hospital Plainview
Cassie Mogg, CFO
(806) 296-4265
Addresses
Street Address
1224 Main Street
Matador, TX 79244
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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