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CAH151315-05 CAMERON MEMORIAL COMMUNITY HOSPITAL (Active)
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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
CAH151315-05
Medicare Provider Number
151315
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/30/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/6/2024
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
401 S BROAD ST STE D
FREMONT, IN 46737-2114
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/30/2020, terminated 7/1/2021. Reinstated 7/1/2024.
05/06/2024
April 2025
April 2025
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