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CAH151315-11 CAMERON MEMORIAL COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
CAMERON MEMORIAL COMMUNITY HOSPITAL
Subdivision Name
CAMERON MEMORIAL COMM HOSPITAL INC - Cameron Family Practice
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH151315-11
Medicare Provider Number
151315
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/30/2020
Last Recertification Date
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
Cameron Memorial Community Hospital, Inc.
Angela Logan, CEO
(260) 667-5735
Primary Contact
Cameron Memorial Community Hospital
ANDREW ALDRED, DIRECTOR OF PHARMACY
(260) 667-5330
Addresses
Street Address
306 E MAUMEE ST
CAMERON MEDICAL OFFICE BUILDING
ANGOLA, IN 46703-2038
Billing Address
Cameron Family Practice
306 East Maumee Street
Suite 301
Angola, IN 46703
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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