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DSH160024 IOWA LUTHERAN HOSPITAL (Terminated)
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Main Details
Name
IOWA LUTHERAN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH160024
Medicare Provider Number
160024
Additional Details
Current Program Status
Terminated
Registration Date
11/13/2008
Participating Start Date
1/1/2009
Participating Approval Date
11/13/2008
Last Recertification Date
9/3/2018
Termination Date
Termination Reason
10/1/2019
Other
Contacts
Authorizing Official
UnityPoint Des Moines
Eric Lothe, SVP/COO
(515) 241-5858
Primary Contact
UnityPoint Health Des Moines
Brian D. Benson, Executive Director of Pharmacy
(515) 241-3411
Addresses
Street Address
700 EAST UNIVERSITY AVENUE
DES MOINES, IA 50316
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/4/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %; 8/2/2009- ADDED MEDICAID AND NPI NUMBERS AND UPDATED AUTH. OFFICIAL INFO.
10/19/2009
April 2025
April 2025
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