340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH160083A CATHOLIC HEALTH INITIATIVES - IOWA, CORP (Terminated)
Print
Main Details
Name
CATHOLIC HEALTH INITIATIVES - IOWA, CORP
Subdivision Name
MERCYONE WEST DES MOINES MEDICAL CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH160083A
Medicare Provider Number
160083
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
3/3/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/15/2011
Last Recertification Date
9/9/2020
Termination Date
Termination Reason
7/1/2021
Other
Contacts
Authorizing Official
Catholic Health Initiatives, Iowa Corp.
Randall Rubin, Senior Vice President Chief Financial Officer
(515) 643-2860
Primary Contact
Catholic Health Initiatives, Iowa Corp
Candace Marie Jordan, Mkt Director of Pharmacy
(515) 247-3262
Addresses
Street Address
1755 59th Place
WEST DES MOINES, IA 50266
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
2/23/12 update main/ship address from 1601 60TH ST
02/23/2012
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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