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CAH291308-00 HUMBOLDT GENERAL HOSPITAL (Active)
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Main Details
Name
HUMBOLDT GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH291308-00
Medicare Provider Number
291308
Additional Details
Current Program Status
Active
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/24/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Humboldt General Hospital
Kim Plummer, CFO
(775) 623-5222 Ext: 1122
Primary Contact
Humboldt General Hospital
Shelly Smith, Controller
(775) 623-5222 Ext: 6006
Addresses
Street Address
118 EAST HASKELL STREET
WINNEMUCCA, NV 89445
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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