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CAH161368-00 FLOYD VALLEY HOSPITAL (Active)
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Main Details
Name
FLOYD VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161368-00
Medicare Provider Number
161368
Additional Details
Current Program Status
Active
Registration Date
11/28/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/29/2010
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Floyd Valley Hospital
DARYL J FRIEDENBACH, CFO
(712) 546-3338
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
714 LINCOLN ST NE
LE MARS, IA 51031-3314
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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