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CAH521322-01 GRANT REGIONAL HEALTH CENTER INC. (Active)
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Main Details
Name
GRANT REGIONAL HEALTH CENTER INC.
Subdivision Name
GRANT REGIONAL COMMUNITY CLINIC - Family Medicine with Multi Specialty Clinic practice
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521322-01
Medicare Provider Number
521322
Outpatient Facility Provider Number
528572
Additional Details
Current Program Status
Active
Registration Date
10/5/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/12/2017
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Grant Regional Health Center
Joel Gehling, CFO
(608) 723-3202
Primary Contact
Grant Regional Health Center
Erin W Hornung, Pharmacist
(608) 723-3235
Addresses
Street Address
507S MONROE ST
LANCASTER, WI 53813-2054
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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