| Addresses | Shipping Address | Delete | Change Request | Regional Health Services of Howard County
303 2ND AVE SW
CRESCO, IA 52136 | | 9/6/2024 12:05 PM |
| Details | Last Recertification Date | Update | Recertification | 8/17/2023 4:52:07 PM | 8/19/2024 6:54:30 AM | 8/19/2024 6:54 AM |
| Contacts | Authorizing Official | Update | Change Request | Burkel, Gregory J.
EXECUTIVE FINANCE OFFICER
Mitchell County Regional Health Center
6417326070 | Brevig, Brandon
Chief Financial Officer
Regional Health Services of Howard County
5635476677 | 8/5/2024 1:59 PM |
| Contacts | Primary Contact | Update | Change Request | Brevig, Brandon
Chief Financial Officer
Regional Health Services of Howard County
5635476677 | Reinhart, Vicki
340B Coordinator
Regional Health Services of Howard County
5635476633 | 8/5/2024 1:59 PM |
| Contacts | Authorizing Official | Update | Profile Change Request | Burkel, Gregory J.
CHIEF FINANCIAL OFFICER
Mitchell County Regional Health Center
6417326070 | Burkel, Gregory J.
EXECUTIVE FINANCE OFFICER
Mitchell County Regional Health Center
6417326070 | 2/21/2024 3:10 PM |
| Details | Last Recertification Date | Update | Recertification | 8/26/2022 12:13:35 PM | 8/17/2023 4:52:07 PM | 8/17/2023 4:52 PM |
| Details | Last Recertification Date | Update | Recertification | 8/16/2021 8:54:56 PM | 8/26/2022 12:13:35 PM | 8/26/2022 12:13 PM |
| Contacts | Primary Contact | Update | Change Request | Deblon, Diane
CFO
Regional Health Services of Howard County
5635476677 | Brevig, Brandon
Chief Financial Officer
Regional Health Services of Howard County
5635476677 | 3/31/2022 2:46 PM |
| Details | Last Recertification Date | Update | Recertification | 8/20/2020 7:04:07 AM | 8/16/2021 8:54:56 PM | 8/16/2021 8:54 PM |
| Addresses | Shipping Address | Insert | Change Request | | Cresco Family Pharmacy
Regional Health Services of Howard County
235 8th Avenue West
Cresco, IA 52136 | 6/17/2021 6:43 PM |
| Addresses | Shipping Address | Insert | Change Request | | Cresco Family Pharmacy South
303 2nd Ave SW
Cresco, IA 52136 | 5/11/2021 9:39 AM |
| Addresses | Shipping Address | Delete | Change Request | Regional Health Services of Howard County
303 2nd Avenue SW
Cresco, IA 52136 | | 5/7/2021 2:50 PM |
| Addresses | Shipping Address | Insert | Change Request | | Regional Health Services of Howard County
303 2ND AVE SW
CRESCO, IA 52136 | 5/7/2021 2:50 PM |
| Addresses | Shipping Address | Insert | Change Request | | Regional Health Services of Howard County
235 8TH AVENUE WEST
Cresco, IA 52136 | 4/14/2021 10:37 AM |
| Addresses | Shipping Address | Insert | Change Request | | Regional Health Services of Howard County
303 2nd Avenue SW
Cresco, IA 52136 | 4/14/2021 10:37 AM |
| Contacts | Primary Contact | Update | Change Request | Palmer, Heath
Director of Pharmacy
Regional Health Services of Howard Co
5635476371 | Deblon, Diane
CFO
Regional Health Services of Howard County
5635476677 | 10/5/2020 3:12 PM |
| Details | Last Recertification Date | Update | Recertification | 8/21/2019 10:07:33 AM | 8/20/2020 7:04:07 AM | 8/20/2020 7:04 AM |
| Details | Last Recertification Date | Update | Recertification | 8/23/2018 5:19:57 AM | 8/21/2019 10:07:33 AM | 8/21/2019 10:07 AM |
| Details | Last Recertification Date | Update | Recertification | 11/16/2017 2:55:35 PM | 8/23/2018 5:19:57 AM | 8/23/2018 5:19 AM |
| Contacts | Primary Contact | Insert | Recertification | | Palmer, Heath
Director of Pharmacy
Regional Health Services of Howard Co
5635476371 | 11/16/2017 2:55 PM |
| Details | Last Recertification Date | Update | Recertification | 8/10/2016 12:00:00 AM | 11/16/2017 2:55:35 PM | 11/16/2017 2:55 PM |
| Contacts | Authorizing Official | Update | | Burkel, Gregory J.
CHIEF FINANCIAL OFFICER
6417326070 | Burkel, Gregory J.
CHIEF FINANCIAL OFFICER
Mitchell County Regional Health Center
6417326070 | 10/2/2017 10:06 AM |
| Contacts | Authorizing Official | Insert | | | Burkel, Gregory J.
CHIEF FINANCIAL OFFICER
6417326070 | 4/7/2017 12:01 PM |
| Addresses | Main Address | Insert | | |
235 8TH AVENUE WEST
CRESCO, IA 52136 | 8/10/2016 9:46 AM |
| Details | Last Recertification Date | Update | | 8/13/2015 12:00:00 AM | 8/10/2016 12:00:00 AM | 8/10/2016 9:46 AM |
| Details | Last Recertification Date | Update | | 8/12/2014 12:00:00 AM | 8/13/2015 12:00:00 AM | 8/13/2015 11:09 PM |
| Details | Last Recertification Date | Update | | 8/29/2013 12:00:00 AM | 8/12/2014 12:00:00 AM | 8/12/2014 9:22 AM |
| Details | Last Recertification Date | Update | | 7/1/2012 12:00:00 AM | 8/29/2013 12:00:00 AM | 8/29/2013 2:49 PM |
| Details | Last Recertification Date | Update | | | 7/1/2012 12:00:00 AM | 5/31/2012 8:15 AM |
| Details | Last Recertification Date | Insert | | | | 9/13/2010 2:16 PM |
| Details | Grant Number | Insert | | | | 9/13/2010 2:16 PM |
| Details | 340B ID | Insert | | | CAH161328-00 | 9/13/2010 2:16 PM |
| Details | Is Authorizing Official EHB Data | Insert | | | | 9/13/2010 2:16 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 9/13/2010 2:16 PM |
| Details | Medicare Provider Number | Insert | | | 161328 | 9/13/2010 2:16 PM |
| Details | Entity Name | Insert | | | REGIONAL HEALTH SERVICES OF HOWARD COUNTY | 9/13/2010 2:16 PM |
| Details | Program Code | Insert | | | CAH | 9/13/2010 2:16 PM |
| Details | Entity Subname | Insert | | | | 9/13/2010 2:16 PM |
| Dates | Participating Approval Date | Insert | | | 9/9/2010 12:00:00 AM | 9/13/2010 2:16 PM |
| Details | State | Insert | | | Active | 9/13/2010 2:16 PM |
| Dates | Registration Date | Insert | | | 9/8/2010 12:00:00 AM | 9/13/2010 2:16 PM |
| Dates | Signed By Date | Insert | | | 9/8/2010 12:00:00 AM | 9/13/2010 2:16 PM |
| Dates | Start Date | Insert | | | 9/13/2010 12:00:00 AM | 9/13/2010 2:16 PM |
| Terminations | Termination Comments | Insert | | | | 9/13/2010 2:16 PM |
| Terminations | Termination Date | Insert | | | | 9/13/2010 2:16 PM |
| Terminations | Termination Effective Date | Insert | | | | 9/13/2010 2:16 PM |
| Terminations | Termination Reason | Insert | | | | 9/13/2010 2:16 PM |