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SCH450055-06 ROLLING PLAINS MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
ROLLING PLAINS MEMORIAL HOSPITAL
Subdivision Name
RPMH MEDICAL ASSOCIATES - INTERNAL MEDICINE
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH450055-06
Medicare Provider Number
450055
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/30/2018
Last Recertification Date
9/9/2022
Termination Date
Termination Reason
7/1/2023
Site closure
Contacts
Authorizing Official
ROLLING PLAINS MEMORIAL HOSPITAL
RHONDA GUELKER, CFO
(325) 219-6238
Primary Contact
Rolling Plains Memorial Hospital
Brandon Staggs, Director of Pharmacy
(325) 219-6075
Addresses
Street Address
301 JENNY GEORGE LANE
BUILDING A
S
SWEETWATER, TX 79556
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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