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CAH191326-01 REEVES MEMORIAL MEDICAL CENTER (Active)
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Main Details
Name
REEVES MEMORIAL MEDICAL CENTER
Subdivision Name
REEVES MEMORIAL MEDICAL CENTER - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH191326-01
Medicare Provider Number
191326
Outpatient Facility Provider Number
193416
Additional Details
Current Program Status
Active
Registration Date
10/12/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/16/2017
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Reeves Memorial Medical Center
David Matthew Caston, CEO
(318) 285-7762
Primary Contact
Reeves Memorial Medical Center
Robin Adams, ACFO
(318) 285-7730
Addresses
Street Address
402 SECOND STREET
BERNICE, LA 71222-0302
Billing Address
RMMC Rural Health Clinic
PO Box 302
Bernice, LA 71222
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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