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CAH161348-00 CLARKE COUNTY PUBLIC HOSPITAL (Active)
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Main Details
Name
CLARKE COUNTY PUBLIC HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161348-00
Medicare Provider Number
161348
Additional Details
Current Program Status
Active
Registration Date
9/18/2010
Participating Start Date
9/24/2010
Participating Approval Date
9/20/2010
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Clarke County Public Hospital
SUSAN KAY DANIELS, CHIEF FINANCIAL OFFICER
(641) 342-5327
Primary Contact
Clarke County Public Hospital
MICHELE MARIE EVINK, PHARMACIST
(641) 342-5322
Addresses
Street Address
800 S FILLMORE ST
OSCEOLA, IA 50213-1694
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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