340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH161330-00 AUDUBON COUNTY MEMORIAL HOSPITAL (Active)
Print
Main Details
Name
AUDUBON COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161330-00
Medicare Provider Number
161330
Additional Details
Current Program Status
Active
Registration Date
11/16/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/18/2010
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Audubon County Memorial Hospital
Suzanne Louise Cooner, CEO
(712) 563-5301
Primary Contact
Audubon County Memorial Hospital
BRETT PIETIG, DIRECTOR OF PHARMACY
(712) 563-5246
Addresses
Street Address
515 PACIFIC AVE
AUDUBON, IA 50025
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session