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CAH171361-00 GREAT PLAINS OF REPUBLIC CO. INC dba Republic County Hospital (Active)
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Main Details
Name
GREAT PLAINS OF REPUBLIC CO. INC dba Republic County Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171361-00
Medicare Provider Number
171361
Additional Details
Current Program Status
Active
Registration Date
7/3/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/5/2017
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Republic County Hospital
Barry Kent Bottger, CFO
(785) 527-2254 Ext: 1006
Primary Contact
Republic County Hospital
Shannon Short, Pharmacy Director
(785) 527-6029
Addresses
Street Address
2420 G STREET
BELLEVILLE, KS 66935
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/5/17 Participated starting 4/1/15 until termination on 10/1/16. Reinstated on 10/1/17.
07/05/2017
April 2025
April 2025
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