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CAH161372-00 BOONE COUNTY HOSPITAL (Active)
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Main Details
Name
BOONE COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161372-00
Medicare Provider Number
161372
Additional Details
Current Program Status
Active
Registration Date
8/26/2010
Participating Start Date
9/2/2010
Participating Approval Date
8/27/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Boone County Hospital
Mikaela Kienitz, CEO
(515) 433-8480
Primary Contact
Boone County Hospital
Sondra Donald, Director of Pharmacy
(515) 433-8271
Addresses
Street Address
1015 UNION STREET
BOONE, IA 50036
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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09/23/10 UPDATED ADDR.(WAS 706 EDGEWOOD DRIVE)
09/23/2010
April 2025
April 2025
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