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CAH161302-00 IOWA SPECIALTY HOSPITAL - CLARION (Active)
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Main Details
Name
IOWA SPECIALTY HOSPITAL - CLARION
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161302-00
Medicare Provider Number
161302
Additional Details
Current Program Status
Active
Registration Date
9/7/2010
Participating Start Date
9/14/2010
Participating Approval Date
9/8/2010
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Iowa Specialty Hospital - Clarion and Belmond Community Hospital
GREG POLZIN, CFO
(641) 444-5623
Primary Contact
Iowa Specialty Hospital
REAGAN SWISHER, CCO
(641) 444-5624
Addresses
Street Address
1316 S Main St
CLARION, IA 50525
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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