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CAH371311-07 JEFFERSON COUNTY HOSPITAL (Active)
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Main Details
Name
JEFFERSON COUNTY HOSPITAL
Subdivision Name
COMANCHE FAMILY CARE - PRIMARY CARE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371311-07
Medicare Provider Number
371311
Outpatient Facility Provider Number
373496
Additional Details
Current Program Status
Active
Registration Date
10/5/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/21/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
DRH Health
Roger Neal, VP-COO
(580) 606-9169
Primary Contact
Duncan Regional Hospital
Dana Strawn Berryhill, Director of Pharmacy
(580) 251-8784
Addresses
Street Address
303 N. Highway 81
COMANCHE, OK 73529
Billing Address
Jefferson County Hospital
PO Box 908
Duncan, OK 73534-0908
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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