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CAH231312-00 SHERIDAN COMMUNITY HOSPITAL (Active)
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Main Details
Name
SHERIDAN COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH231312-00
Medicare Provider Number
231312
Additional Details
Current Program Status
Active
Registration Date
4/3/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/17/2017
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Sheridan Community Hospital
Ljiljana Petricevic, CEO
(989) 291-6222
Primary Contact
Sheridan Community Hospital
Mary Kathleen Thomas, Pharmacist
(989) 291-6276
Addresses
Street Address
301 N MAIN STREET
SHERIDAN, MI 48884
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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