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CAH041323-02 ASHLEY COUNTY MEDICAL CENTER (Active)
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Main Details
Name
ASHLEY COUNTY MEDICAL CENTER
Subdivision Name
HAMBURG HEALTH CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041323-02
Medicare Provider Number
041323
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/20/2017
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
ashley county medcal center
PHILLIP GILMORE, CHIEF EXECUTIVE OFFICER
(870) 364-4111 Ext: 271
Primary Contact
ashley county medical center
dawn lanae burchfield, director of pharmacy
(870) 364-1248
Addresses
Street Address
323 W Parker Street
HAMBURG, AR 71646-3121
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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