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CAH161357-00 PALO ALTO COUNTY HOSPITAL (Active)
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Main Details
Name
PALO ALTO COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161357-00
Medicare Provider Number
161357
Additional Details
Current Program Status
Active
Registration Date
9/20/2010
Participating Start Date
9/24/2010
Participating Approval Date
9/20/2010
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Palo Alto County Hospital
Jonathan Moe, CEO
(712) 852-5401
Primary Contact
Mercy Health
Collette Johnson, CFO
(712) 852-5402
Addresses
Street Address
3201 FIRST STREET
EMMETSBURG, IA 50536-2516
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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