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CAH361325-15 GALION COMMUNITY HOSPITAL (Active)
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Main Details
Name
GALION COMMUNITY HOSPITAL
Subdivision Name
Rural Health Clinic - West 4th Street (RHC 2981) - Internal Med
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361325-15
Medicare Provider Number
361325
Outpatient Facility Provider Number
363410
Additional Details
Current Program Status
Active
Registration Date
1/15/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/23/2020
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Avita Health System
ERIC DRAIME, CHIEF FINANCIAL OFFICER
(419) 468-0501
Primary Contact
Avita Health System
Christina Barnes, Director of Pharmacy
(419) 468-0541
Addresses
Street Address
2981 West 4th Street
Ontario, OH 44906
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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