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CAH161322-00 Dallas County Hospital (Active)
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Main Details
Name
Dallas County Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161322-00
Medicare Provider Number
161322
Additional Details
Current Program Status
Active
Registration Date
8/19/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/19/2011
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Dallas County Hospital
Angela Mortoza, Chief Executive Officer
(515) 465-7628
Primary Contact
Dallas County Hospital
Tricia Kay Steiner, CPC, Compliance and Risk Coordinator, Privacy Officer
(515) 465-7555
Addresses
Street Address
610 10th Street
Perry, IA 50220
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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