340B Drug Pricing Program Database
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CAH161366-00 Shenandoah Medical Center (Active)
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Main Details
Name
Shenandoah Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161366-00
Medicare Provider Number
161366
Additional Details
Current Program Status
Active
Registration Date
8/17/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/19/2011
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Shenandoah Medical Center
Matthew Richard Sells, President and CEO
(712) 246-7160
Primary Contact
Shenandoah Medical Center
Amanda Renee Mather, Director of Pharmacy
(712) 246-7137
Addresses
Street Address
300 Pershing Ave
Shenandoah, IA 51601-2355
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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