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CAH451303-04 LIMESTONE MEDICAL CENTER (Active)
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Main Details
Name
LIMESTONE MEDICAL CENTER
Subdivision Name
SOUTH LIMESTONE HOSPITAL DISTRICT - RETTIG FAMILY HEALTH CARE (RHC)
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451303-04
Medicare Provider Number
451303
Outpatient Facility Provider Number
673480
Additional Details
Current Program Status
Active
Registration Date
4/1/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/6/2022
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Limestone Medical Center
Larry N. Price, CEO/ADMINISTRATOR
(254) 729-3281 Ext: 2100
Primary Contact
South Limestone Hospital District
Julie Wilson, CCO
(254) 729-3281 Ext: 2131
Addresses
Street Address
204 W TRINITY STREET
RETTIG FAM HEALTH CRE A LIMESTONE MED CENT CLNC
GROESBECK, TX 76642-1324
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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