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CAH161314-00 Guthrie County Hospital (Active)
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Main Details
Name
Guthrie County Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161314-00
Medicare Provider Number
161314
Additional Details
Current Program Status
Active
Registration Date
10/31/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/14/2011
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Guthrie County Hospital
Christopher R Stipe, CEO
(641) 332-2201
Primary Contact
Guthrie County Hospital
Jacqueline Suzanne Willms, Director of Pharmacy
(641) 332-3807
Addresses
Street Address
710 North 12th Street
Guthrie Center, IA 50115
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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