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CAH161382-00 ST. ANTHONY REGIONAL HOSPITAL (Active)
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Main Details
Name
ST. ANTHONY REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH161382-00
Medicare Provider Number
161382
Additional Details
Current Program Status
Active
Registration Date
5/1/2024
Participating Start Date
5/22/2024
Participating Approval Date
5/22/2024
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
St. Anthony Regional Hospital and Nursing Home
Eric Clark Salmonson, CFO
(712) 794-5424
Primary Contact
St. Anthony Regional Hospital and Nursing Home
Erin Monthei, Pharmacist
(712) 794-5215
Addresses
Street Address
311 SOUTH CLARK STREET
CARROLL, IA 51401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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