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CAH241366-01 MEEKER MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
MEEKER MEMORIAL HOSPITAL
Subdivision Name
COUNTY OF MEEKER - OB/GYN Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241366-01
Medicare Provider Number
241366
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/19/2018
Last Recertification Date
8/14/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Meeker Memorial
Nicole Siegner, Chief Finance Officer
(320) 693-4512
Primary Contact
Meeker Memorial Hospital
Brent Kosel, Pharmacy Director
(320) 693-4500 Ext: 4539
Addresses
Street Address
520 S SIBLEY AVE
LITCHFIELD, MN 55355-3030
Billing Address
Meeker Memorial Hospital
612 S Sibley Ave
LITCHFIELD, MN 55355
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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