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CAH371311-13 JEFFERSON COUNTY HOSPITAL (Active)
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Main Details
Name
JEFFERSON COUNTY HOSPITAL
Subdivision Name
Elgin Family Care - Family Care
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH371311-13
Medicare Provider Number
371311
Outpatient Facility Provider Number
378535
Additional Details
Current Program Status
Active
Registration Date
4/12/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/14/2021
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
DRH Health
Roger Neal, VP-COO
(580) 606-9169
Primary Contact
Duncan Regional Hospital
Dana Strawn Berryhill, Director of Pharmacy
(580) 251-8784
Addresses
Street Address
8148 State Hwy 17
Elgin, OK 73538
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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