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CAH151330-10 ADAMS COUNTY MEMORIAL HOSPITAL DBA ADAMS MEMORIAL HOSPITAL (Active)
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Main Details
Name
ADAMS COUNTY MEMORIAL HOSPITAL DBA ADAMS MEMORIAL HOSPITAL
Subdivision Name
ADAMS COUNTY MEMORIAL HOSPITAL - Adams Medical Group -- High Street
Type
Critical Access Hospital
Rural
No
340B ID
CAH151330-10
Medicare Provider Number
151330
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/6/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/21/2021
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Adams Memorial Hospital
Scott Smith, Executive Director
(260) 724-2145 Ext: 11002
Primary Contact
Adams Memorial Hospital
Dane Wheeler, CFO
(260) 724-2145
Addresses
Street Address
955 HIGH ST STE 1
ADAMS MEDICAL GROUP- HIGH STREET
DECATUR, IN 46733-2361
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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