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CAH321311-00 GILA REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
GILA REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH321311-00
Medicare Provider Number
321311
Additional Details
Current Program Status
Active
Registration Date
4/5/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/11/2022
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Gila Regional Medical Center
Matthew C Stephens, Associate Administrator
(575) 538-4041
Primary Contact
GRMC
Donald Koebel, Pharmacy Buyer
(575) 538-4001 Ext: 4180
Addresses
Street Address
1313 EAST 32ND STREET
SILVER CITY, NM 88061
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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