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CAH051305-01 MAYERS MEMORIAL HOSPITAL (Active)
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Main Details
Name
MAYERS MEMORIAL HOSPITAL
Subdivision Name
Mayers Rural Health Center - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH051305-01
Medicare Provider Number
051305
Outpatient Facility Provider Number
058721
Additional Details
Current Program Status
Active
Registration Date
10/9/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/21/2023
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Mayers Memorial Hospital District
Ryan Jay Ramon Harris, Chief Executive Officer
(530) 336-5511 Ext: 1190
Primary Contact
Mayers Memorial Hospital
KEITH Lemuel EARNEST, CCO
(530) 336-5554 Ext: 1153
Addresses
Street Address
20641 Commerce Way
Burney, CA 96013
Billing Address
Mayers Memorial Hospital District
PO Box 459
Fall River Mills, CA 96028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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