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CAH031319-00 MT. GRAHAM REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
MT. GRAHAM REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH031319-00
Medicare Provider Number
031319
Additional Details
Current Program Status
Active
Registration Date
10/3/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/29/2022
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Mt. Graham Regional Medical Center, Inc.
Kathleen Louise Williams, VP of Finance / Chief Financial Officer
(928) 348-4060
Primary Contact
Mt. Graham Regional Medical Center, Inc.
Angela M Hernandez, Director of Patient Accounting
(928) 348-4021
Addresses
Street Address
1600 S 20th Avenue
SAFFORD, AZ 85546
Billing Address
Mt. Graham Regional Medical Center, Inc.
1600 S 20th Avenue
Safford, AZ 85546
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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