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SCH450055-03 ROLLING PLAINS MEMORIAL HOSPITAL (Active)
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Main Details
Name
ROLLING PLAINS MEMORIAL HOSPITAL
Subdivision Name
RPMH / Rural Health Clinic
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH450055-03
Medicare Provider Number
450055
Outpatient Facility Provider Number
673439
Additional Details
Current Program Status
Active
Registration Date
4/12/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/3/2017
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
ROLLING PLAINS MEMORIAL HOSPITAL
RHONDA GUELKER, CFO
(325) 219-6238
Primary Contact
Rolling Plains Memorial Hospital
Brandon Staggs, Director of Pharmacy
(325) 219-6075
Addresses
Street Address
201 EAST ARIZONA
SWEETWATER, TX 79556-7120
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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