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CAH031301-00 BENSON HOSPITAL (Active)
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Main Details
Name
BENSON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH031301-00
Medicare Provider Number
031301
Additional Details
Current Program Status
Active
Registration Date
4/1/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/22/2019
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Benson Hospital
Gary Kartchner, CEO
(520) 720-6606
Primary Contact
Benson Hospital
Bret Hicks, CFO
(520) 324-1614
Addresses
Street Address
450 S. OCOTILLO
BENSON, AZ 85602-2990
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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