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CAH451382-01 Comanche County Medical Center Company dba Comanche County Medical Center (Active)
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Main Details
Name
Comanche County Medical Center Company dba Comanche County Medical Center
Subdivision Name
Rising Star Health Clinic - RHC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451382-01
Medicare Provider Number
451382
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/18/2022
Last Recertification Date
8/24/2024
Contacts
Authorizing Official
Comanche County Medical Center
Hong Wade, Chief Financial Officer
(254) 879-4900 Ext: 2215
Primary Contact
Comanche County Medical Center
Sharon Abbey Maxwell, Director of Pharmacy
(254) 879-4961
Addresses
Street Address
1870A State Hwy 36
Rising Star, TX 76471
Billing Address
COMANCHE COUNTY MEDICAL CENTER
10201 Hwy 16 N.
Comanche, TX 76442
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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