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CAH151315-07 CAMERON MEMORIAL COMMUNITY HOSPITAL (Active)
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Main Details
Name
CAMERON MEMORIAL COMMUNITY HOSPITAL
Subdivision Name
Clinic (ATU Clinic)
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH151315-07
Medicare Provider Number
151315
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/7/2020
Participating Start Date
7/30/2020
Participating Approval Date
7/14/2020
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Cameron Memorial Community Hospital, Inc.
Angela Logan, CEO
(260) 667-5735
Primary Contact
Cameron Memorial Community Hospital, Inc.
Jonathan Crabill, Pharmacy Director
(260) 667-5427
Addresses
Street Address
416 E Maumee St
CAMERON MEDICAL OFFICE BUILDING
ANGOLA, IN 46703-2038
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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