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CAH161379-00 Mahaska County Hospital d/b/a Mahaska Health Partnership (Active)
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Main Details
Name
Mahaska County Hospital d/b/a Mahaska Health Partnership
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161379-00
Medicare Provider Number
161379
Additional Details
Current Program Status
Active
Registration Date
4/11/2012
Participating Start Date
7/1/2012
Participating Approval Date
5/30/2012
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Mahaska Health Partnership
Andrea Hagist, CNO
(641) 672-3140
Primary Contact
Mahaska Health Partnership
Kirsten Dougherty, Director of Pharmacy
(641) 672-3373
Addresses
Street Address
1229 C Avenue East
Oskaloosa, IA 52577
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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