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SCH060076-00 STERLING REGIONAL MEDCENTER (Terminated)
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Main Details
Name
STERLING REGIONAL MEDCENTER
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH060076-00
Medicare Provider Number
060076
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/20/2018
Last Recertification Date
8/29/2023
Termination Date
Termination Reason
1/1/2024
Change of covered entity type
Contacts
Authorizing Official
Ogallala Community Hospital
DENA KLOCKMAN, CHIEF FINANCIAL OFFICER
(308) 284-7263
Primary Contact
Banner
Michele Masters, Associate Director, Pharmacy
(970) 740-3177
Addresses
Street Address
615 FAIRHURST STREET
STERLING, CO 80751
Billing Address
Banner Health Accounts Payable
PO BOX 2977
Phoenix, AZ 85062
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated as a RRC 10/1/2014; Terminated RRC as of 9/30/18; Begin participation as a SCH on 10/1/2018.
08/17/2018
April 2025
April 2025
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