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CAH171384-04 NEWMAN MEMORIAL COUNTY HOSPITAL (Terminated)
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Main Details
Name
NEWMAN MEMORIAL COUNTY HOSPITAL
Subdivision Name
NEWMAN REGIONAL HEALTH SURGICAL - General Surgery Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171384-04
Medicare Provider Number
171384
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/2/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/11/2018
Last Recertification Date
8/17/2018
Termination Date
Termination Reason
4/1/2019
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Newman Memorial County Hospital d/b/a Newman Regional Health
Holly R. French, CFO
(620) 343-6800 Ext: 22610
Primary Contact
Newman Regional Health
Ashley N Edwards, Pharmacist Director
(620) 343-6800
Addresses
Street Address
1301 W 12th Ave, Suite 301
Emporia, KS 66801
Billing Address
Newman Regional Health Surgical Specialists
1201 W 12th Ave
Emporia, KS 66801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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