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CAH361315-00 HARDIN MEMORIAL HOSPITAL (Active)
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Main Details
Name
HARDIN MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361315-00
Medicare Provider Number
361315
Additional Details
Current Program Status
Active
Registration Date
4/12/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/23/2019
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
OhioHealth
James Stephan Parobek, President
(740) 383-8626
Primary Contact
OhioHealth Hardin Memorial Hospital
Jake T Abbott, Pharmacy Coordinator
(419) 675-8167
Addresses
Street Address
921 E. FRANKLIN STREET
KENTON, OH 43326
Billing Address
OhioHealth
PO box 9
Columbus, OH 43216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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