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SCH170023-04 ST. CATHERINE HOSPITAL (Terminated)
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Main Details
Name
ST. CATHERINE HOSPITAL
Subdivision Name
ST CATHERINE HOSPITAL - Occupational Medicine - Siena Medical Clinic
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH170023-04
Medicare Provider Number
170023
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/16/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/25/2018
Last Recertification Date
Termination Date
Termination Reason
1/1/2019
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
St. Catherine Hospital
AMANDA VAUGHAN, CFO
(620) 272-2554
Primary Contact
Centura Health
VINNY POLITO, SYSTEM DIRECTOR AMB PHARMACY
(303) 673-1014
Addresses
Street Address
311 E SPRUCE ST
SIENA MEDICAL CENTER
GARDEN CITY, KS 67846-5614
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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