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CAH491300-02 Bath County Community Hospital, Inc. (Active)
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Main Details
Name
Bath County Community Hospital, Inc.
Subdivision Name
Rural Health Clinic III - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH491300-02
Medicare Provider Number
491300
Outpatient Facility Provider Number
493436
Additional Details
Current Program Status
Active
Registration Date
12/20/2021
Participating Start Date
12/22/2021
Participating Approval Date
12/22/2021
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Bath Community Hospital
Marita Romine, CFO
(540) 839-7082
Primary Contact
Bath Community Hospital
Jill Conley, Director of Pharmacy
(540) 839-7079
Addresses
Street Address
432 Church St.
Millboro, VA 24460
Billing Address
Bath County Community Hospital
PO Drawer Z
Hot Springs, VA 24445
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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