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CAH451386-03 Moore County Hospital District d/b/a Memorial Hospital (Active)
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Main Details
Name
Moore County Hospital District d/b/a Memorial Hospital
Subdivision Name
MOORE COUNTY BONE & JOINT- Orthopedic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451386-03
Medicare Provider Number
451386
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
2/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
3/2/2018
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Moore County Hospital District
JEFF Ray TURNER, CEO
(806) 935-7171
Primary Contact
Moore County Hospital District
Ashleigh Dozier Wiswell, Chief Operations Officer
(806) 934-7802
Addresses
Street Address
1515 E 1ST ST
Suite 200
DUMAS, TX 79029-3576
Billing Address
Moore County Hospital District dba Memorial Hospital
224 E. 2nd St.
Dumas, TX 79029
Comments
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