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CAH161343-00 DELAWARE COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
DELAWARE COUNTY MEMORIAL HOSPITAL
Subdivision Name
DBA REGIONAL MEDICAL CENTER
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161343-00
Medicare Provider Number
161343
Additional Details
Current Program Status
Active
Registration Date
11/3/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/29/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Delaware County Memorial Hospital
Nathan Pickel, Chief Financial Officer
(563) 927-7568
Primary Contact
Regional Medical Center
Kim Wall-Saeugling, Pharmacy Manager
(563) 927-7332
Addresses
Street Address
709 WEST MAIN STREET
MANCHESTER, IA 52057-0359
Billing Address
Regional Medical Center
709 West Main Street
PO Box 359
Manchester, IA 52057
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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