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CAH171340-01 Herington Hospital, Inc. d/b/a Herington Hospital (Terminated)
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Main Details
Name
Herington Hospital, Inc. d/b/a Herington Hospital
Subdivision Name
HERINGTON HOSPITAL - Herington Area Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171340-01
Medicare Provider Number
171340
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/21/2019
Last Recertification Date
8/30/2023
Termination Date
Termination Reason
10/1/2024
Failure to recertify
Contacts
Authorizing Official
Amberwell Health
Jeffery Perry, CEO
(913) 360-5586
Primary Contact
Herington Hospital Pharmacy
William Frank Glenski, Pharmacist in Charge
(816) 868-6338
Addresses
Street Address
1005 N B ST
HERINGTON, KS 67449-1600
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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