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DSH370214 LINDSAY MUNICIPAL HOSPITAL AUTHORITY (Active)
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Main Details
Name
LINDSAY MUNICIPAL HOSPITAL AUTHORITY
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH370214
Medicare Provider Number
370214
Additional Details
Current Program Status
Active
Registration Date
7/5/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/20/2023
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Lindsay Municipal Hospital Authority
Jeff W Walraven, CEO
(405) 756-1404 Ext: 226
Primary Contact
Lindsay Municipal Hospital
Tandy Warren, Program Manager
(405) 756-1404 Ext: 224
Addresses
Street Address
1305 W Cherokee St
LINDSAY, OK 73052
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2017, terminated 1/1/2018. Reinstated 10/1/2023.
07/19/2023
June 2025
June 2025
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