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CAH371303-01 ROGER MILLS MEMORIAL HOSPITAL (Active)
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Main Details
Name
ROGER MILLS MEMORIAL HOSPITAL
Subdivision Name
Buster Rural Health Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH371303-01
Medicare Provider Number
371303
Outpatient Facility Provider Number
373999
Additional Details
Current Program Status
Active
Registration Date
4/11/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/24/2017
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Roger Mills Memorial Hospital
Cynthia E Duncan, CEO
(580) 497-3336 Ext: 224
Primary Contact
Roger Mills Memorial Hospital
Ellen Kirk, DON
(580) 497-3336
Addresses
Street Address
101 F. Buster Avenue
Cheyenne, OK 73628
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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