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CAH361326-01 ADAMS COUNTY HOSPITAL DBA ADAMS COUNTY REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
ADAMS COUNTY HOSPITAL DBA ADAMS COUNTY REGIONAL MEDICAL CENTER
Subdivision Name
Family Medicine Georgetown - Family Medicine
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361326-01
Medicare Provider Number
361326
Outpatient Facility Provider Number
363418
Additional Details
Current Program Status
Active
Registration Date
7/14/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/21/2020
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Adams County Regional Medical Center
Pete R Dagenbach, CFO
(937) 386-3007
Primary Contact
Adams County Regional Medical Center
Erin Trefz, PHARMACIST
(937) 386-3400 Ext: 3692
Addresses
Street Address
900 Mt Orab Pike
Georgetown, OH 45121
Billing Address
Adams County Regional Medical Center
230 Medical Center Drive
Seaman, OH 45679
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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