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CAH161333-00 STORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTER (Active)
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Main Details
Name
STORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161333-00
Medicare Provider Number
161333
Additional Details
Current Program Status
Active
Registration Date
9/27/2010
Participating Start Date
9/29/2010
Participating Approval Date
9/27/2010
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Story County Medical Center
Nathan David Thompson, CEO
(515) 382-7702
Primary Contact
Story County Medical Center
Paul William Groteluschen, Director of Pharmacy
(515) 382-7745
Addresses
Street Address
640 SOUTH 19TH STREET
NEVADA, IA 50201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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