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CAH151313-00 WOODLAWN HOSPITAL (Active)
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Main Details
Name
WOODLAWN HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH151313-00
Medicare Provider Number
151313
Additional Details
Current Program Status
Active
Registration Date
10/17/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/6/2018
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Woodlawn Hospital
Carrie Ann Bowers, Authorizing Official
(574) 224-1128
Primary Contact
Woodlawn Hospital
Christina Hunting, Pharmacist 340B Coordinator
(574) 224-1158
Addresses
Street Address
1400 EAST 9TH STREET
ROCHESTER, IN 46975
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial start 9/27/2010, Termination 10/1/2018, Reinstate 1/1/2019
10/18/2018
3/30/12 - Deleted NPI # (was 1265413405)
03/30/2012
February 2025
February 2025
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