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CAH321300-00 SIERRA VISTA HOSPITAL (Active)
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Main Details
Name
SIERRA VISTA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH321300-00
Medicare Provider Number
321300
Additional Details
Current Program Status
Active
Registration Date
4/3/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/3/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Sierra Vista Hospital
Don Bates, CEO
(575) 743-1201
Primary Contact
Sierra Vista Hospital
Chun-Ming Huang, CFO
(575) 743-1212
Addresses
Street Address
800 EAST 9TH AVE.
TRUTH OR CONSEQUENCES, NM 87901-1961
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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