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CAH161327-00 DAVIS COUNTY HOSPITAL (Active)
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Main Details
Name
DAVIS COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161327-00
Medicare Provider Number
161327
Additional Details
Current Program Status
Active
Registration Date
11/10/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/15/2010
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Davis County Hospital
Lisa Warren, CFO
(641) 664-7098
Primary Contact
Davis County Hospital
Wendy Barker, Pharmacy Manager
(641) 664-7089
Addresses
Street Address
509 N. MADISON ST.
BLOOMFIELD, IA 52537-1271
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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