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RRC170142-00 Ascension Via Christi Hospital Manhattan, Inc. (Active)
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Main Details
Name
Ascension Via Christi Hospital Manhattan, Inc.
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC170142-00
Medicare Provider Number
170142
Additional Details
Current Program Status
Active
Registration Date
10/1/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/27/2020
Last Recertification Date
9/13/2024
Contacts
Authorizing Official
Ascension Via Christi Hospital Manhattan, Inc.
Robert Charles Copple, Hospital President
(785) 776-2841
Primary Contact
Ascension Via Christi Hospital Manhattan, Inc.
Kevin Oehme, Director of Pharmacy
(785) 565-4727
Addresses
Street Address
1823 College Avenue
MANHATTAN, KS 66502
Billing Address
Ascension Via Christi Hospital Manhattan, Inc
1823 College Ave
Manhattan, KS 66502
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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