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CAH451313-01 FISHER COUNTY HOSPITAL DISTRICT (Terminated)
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Main Details
Name
FISHER COUNTY HOSPITAL DISTRICT
Subdivision Name
Roby Rural Health Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH451313-01
Medicare Provider Number
451313
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/17/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/16/2017
Last Recertification Date
8/25/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Fisher County Hospital District
Leanne Martinez, CEO
(325) 735-2256 Ext: 284
Primary Contact
Fisher County Hosptial
Erin French, Pharmacist
(325) 735-2256 Ext: 272
Addresses
Street Address
117 E. North 1st St
Roby, TX 79543
Billing Address
Roby Rural Health Clinic
P.O. Box 66
Roby, TX 79543
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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