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CAH261311-08 Mercy Hospital Perry (Active)
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Main Details
Name
Mercy Hospital Perry
Subdivision Name
PERRY COUNTY HEALTH SYSTEM - Women's Health Suite 200
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH261311-08
Medicare Provider Number
261311
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/16/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/17/2023
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Mercy
Sherry Clouse Day, VP Finance - Mercy CAH
(417) 820-8439
Primary Contact
Mercy Shared Services
Mike Loftus, Director-Hospital Pharmacy
(417) 820-3487
Addresses
Street Address
206 HOSPITAL LN STE 201
PERRY COUNTY PHYSICIAN SERVICES
PERRYVILLE, MO 63775-1382
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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