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SCH370019-00 Farmers Union Hospital Association DBA Great Plains Regional Medical Center (Active)
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Main Details
Name
Farmers Union Hospital Association DBA Great Plains Regional Medical Center
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH370019-00
Medicare Provider Number
370019
Additional Details
Current Program Status
Active
Registration Date
10/6/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/31/2017
Last Recertification Date
9/10/2024
Contacts
Authorizing Official
Great Plains Regional Medical Center
Monica Scott, CFO
(580) 821-5500
Primary Contact
Great Plains Regional Medical Center
Theresa Garner, Director of Pharmacy
(580) 821-5394
Addresses
Street Address
1801 W 3rd Street
Elk City, OK 73644
Billing Address
Farmers Union Hospital Association DBA Great Plains Regional Medical Center
PO Box 2339
Elk City, OK 73648
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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