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CAH371320-00 CLEVELAND AREA HOSPITAL (Active)
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Main Details
Name
CLEVELAND AREA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371320-00
Medicare Provider Number
371320
Additional Details
Current Program Status
Active
Registration Date
10/5/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/6/2021
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Cleveland Area Hospital
Melva D. Bostik, RN, BSN, RHCNOC
(918) 358-2501 Ext: 4326
Primary Contact
Cleveland Area Hospital
Nathan Langford, Financial Analyst
(918) 358-2501
Addresses
Street Address
1401 W PAWNEE
CLEVELAND, OK 74020
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2019, terminated 10/1/2021. Reinstated 1/1/2022.
10/06/2021
April 2025
April 2025
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