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CAH161340-00 DECATUR COUNTY HOSPITAL (Active)
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Main Details
Name
DECATUR COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161340-00
Medicare Provider Number
161340
Additional Details
Current Program Status
Active
Registration Date
9/24/2010
Participating Start Date
9/30/2010
Participating Approval Date
9/24/2010
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Decatur County Hospital
Michael Johnston, Chief Executive Officer
(641) 446-2339
Primary Contact
Decatur County Hospital
Tara Spidle, Chief Financial Officer
(641) 446-2340
Addresses
Street Address
1405 NW CHURCH STREET
LEON, IA 50144
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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