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DSH160058BS UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER
Subdivision Name
STATE UNIVERSITY OF IOWA - IRL ORTHOPAEDIC PHY MED-REHAB
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH160058BS
Medicare Provider Number
160058
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/2/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/9/2024
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
University of Iowa Health Care
Michael Brownlee, Chief Pharmacy Officer
(319) 384-9371
Primary Contact
University of Iowa Health Care
Becky Marie Triplett, Manager, 340B and Compliance
(319) 384-5583
Addresses
Street Address
105 E 9TH ST
IOWA RIVER LANDING UNIVERSITY OF IOWA HEALTHCARE
CORALVILLE, IA 52241-2209
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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