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CAH161310-00 ADAIR COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
ADAIR COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH161310-00
Medicare Provider Number
161310
Additional Details
Current Program Status
Active
Registration Date
9/14/2010
Participating Start Date
1/1/2011
Participating Approval Date
10/21/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Adair County Hospital
Matt Haley, CFO
(641) 743-7238
Primary Contact
Adair County Memorial Hospital
Tamara Lowary, Pharmacy Manager
(641) 743-7284
Addresses
Street Address
609 SE KENT STREET
GREENFIELD, IA 50849-9494
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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