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CAH161354-00 Ida County Iowa Community Hospital dba Horn Memorial Hospital (Active)
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Main Details
Name
Ida County Iowa Community Hospital dba Horn Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161354-00
Medicare Provider Number
161354
Additional Details
Current Program Status
Active
Registration Date
1/1/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/7/2013
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Ida County Iowa Community Hospital dba Horn Memorial Hospital
EMILY LANGE, CCO/CNO
(712) 364-7269
Primary Contact
Ida County Iowa Community Hospital dba Horn Memorial Hospital
Alex Weirich, Pharmacy Director
(712) 364-7253
Addresses
Street Address
701 E 2nd St
Ida Grove, IA 51445
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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