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CAH161346-00 SIOUX CENTER HEALTH (Active)
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Main Details
Name
SIOUX CENTER HEALTH
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161346-00
Medicare Provider Number
161346
Additional Details
Current Program Status
Active
Registration Date
9/23/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/24/2010
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Sioux Center Health
Cory Nelson, CEO
(712) 722-8107
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
1101 9th St SE
SIOUX CENTER, IA 51250-1398
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/22/2010- ADDED ZIP 2
10/22/2010
April 2025
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