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CAH161367-00 PELLA REGIONAL HEALTH CENTER (Active)
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Main Details
Name
PELLA REGIONAL HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161367-00
Medicare Provider Number
161367
Additional Details
Current Program Status
Active
Registration Date
11/19/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/19/2010
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Pella Regional Health Center
Jody VanVeen, Chief Nursing and Chief Ancillary Officer
(641) 628-6629
Primary Contact
Pella Regional Health Center
Jessica Ann Rosenhamer, Pharmacy Director
(641) 628-6616
Addresses
Street Address
404 JEFFERSON ST.
PELLA, IA 50219
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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