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CAH451303-02 LIMESTONE MEDICAL CENTER (Active)
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Main Details
Name
LIMESTONE MEDICAL CENTER
Subdivision Name
Family Medicine Center - Family Medicine Center
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451303-02
Medicare Provider Number
451303
Outpatient Facility Provider Number
453984
Additional Details
Current Program Status
Active
Registration Date
4/30/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/24/2019
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Limestone Medical Center
Larry N. Price, CEO/ADMINISTRATOR
(254) 729-3281 Ext: 2100
Primary Contact
South Limestone Hospital District
Julie Wilson, CCO
(254) 729-3281 Ext: 2131
Addresses
Street Address
801 McClintic Drive
Groesbeck, TX 76642
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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