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SCH370153-00 ELKVIEW GENERAL HOSPITAL (Terminated)
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Main Details
Name
ELKVIEW GENERAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH370153-00
Medicare Provider Number
370153
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/2/2022
Last Recertification Date
8/25/2023
Termination Date
Termination Reason
10/1/2024
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Kiowa County Hospital Authority dba Elkview General Hospital
Lisa Hart, CEO
(580) 726-1962
Primary Contact
Kiowa County Hospital Authority dba Elkview General Hospital
Sandra Strain, Controller
(580) 726-1963
Addresses
Street Address
429 ELM
HOBART, OK 73654-0633
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (10/1/2018) until terminated effective date: (10/1/2019), reinstatement effective date: (10/1/2022)
07/29/2022
April 2025
April 2025
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