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CAH161349-00 Virginia Gay Hospital (Active)
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Main Details
Name
Virginia Gay Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161349-00
Medicare Provider Number
161349
Additional Details
Current Program Status
Active
Registration Date
2/23/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/15/2012
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Virginia Gay Hospital
Barry Dietsch, CFO
(319) 472-6255
Primary Contact
VIRGINIA GAY HOSPITAL
Tina Eden, CNO
(319) 472-6276
Addresses
Street Address
502 N 9th Ave
Vinton, IA 52349
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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