340B Drug Pricing Program Database
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CAH161336-00 Hegg Memorial Hospital (Active)
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Main Details
Name
Hegg Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161336-00
Medicare Provider Number
161336
Additional Details
Current Program Status
Active
Registration Date
8/30/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/22/2011
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Hegg Memorial Hospital
Glenn Zevenbergen, CEO
(712) 476-8009
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
1202 21st Ave
Rock Valley, IA 51247
Billing Address
Hegg Memorial Hospital
1200 21st Ave
Rock Valley, IA 51247
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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