340B Drug Pricing Program Database
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CAH161362-00 SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION D/B/A CHEROKEE REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION D/B/A CHEROKEE REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161362-00
Medicare Provider Number
161362
Additional Details
Current Program Status
Active
Registration Date
9/30/2010
Participating Start Date
9/30/2010
Participating Approval Date
9/30/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
CRMC
Gary Jordan, CEO
(712) 225-2201
Primary Contact
Cherokee Regional Medical Center
Dawn C. Ruehle, Pharmacy Manager
(712) 225-3368 Ext: 2178
Addresses
Street Address
300 SIOUX VALLEY DRIVE
CHEROKEE, IA 51012
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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