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CAH161339-00 WAVERLY HEALTH CENTER (Active)
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Main Details
Name
WAVERLY HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161339-00
Medicare Provider Number
161339
Additional Details
Current Program Status
Active
Registration Date
8/16/2010
Participating Start Date
9/1/2010
Participating Approval Date
8/16/2010
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Waverly Health Center
Jodi Marie Geerts, Chief Executive Officer
(319) 483-4017
Primary Contact
Waverly Health Center
Alicia Jahnke, Pharmacy Manager
(319) 483-4092
Addresses
Street Address
312 9TH ST SW
WAVERLY, IA 50677
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/18/2010- ADDED SHIP TO
11/18/2010
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