340B Drug Pricing Program Database
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DSH160082BY IOWA METHODIST MEDICAL CENTER (Active)
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Main Details
Name
IOWA METHODIST MEDICAL CENTER
Subdivision Name
CENTRAL IOWA HOSPITAL CORPORATION - Counseling and Psychiatry - Lakeview 3044500
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH160082BY
Medicare Provider Number
160082
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/18/2024
Last Recertification Date
Contacts
Authorizing Official
UnityPoint Health - Des Moines
Jon Rozenfeld, Market President
(515) 241-6396
Primary Contact
UnityPoint Health Des Moines
Brian D. Benson, Executive Director of Pharmacy
(515) 241-3411
Addresses
Street Address
6000 UNIVERSITY AVE STE 200
COUNSELING CENTER
WEST DES MOINES, IA 50266-8201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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