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CAH161344-00 WASHINGTON COUNTY HOSPITAL (Active)
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Main Details
Name
WASHINGTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161344-00
Medicare Provider Number
161344
Additional Details
Current Program Status
Active
Registration Date
9/20/2010
Participating Start Date
9/27/2010
Participating Approval Date
9/20/2010
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Washington County Hospital
Shelli Cleverley, CFO
(319) 863-3902
Primary Contact
Washington County Hospital
Kelsey Renee Bayliss, Pharmacist
(319) 863-3957
Addresses
Street Address
400 E POLK ST.
WASHINGTON, IA 52353
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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February 2025
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