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CAH161341-00 Lucas County Health Center (Active)
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Main Details
Name
Lucas County Health Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161341-00
Medicare Provider Number
161341
Additional Details
Current Program Status
Active
Registration Date
1/6/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/27/2014
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Lucas County Health Center
Lori Johnson, Chief Operations Officer
(641) 774-3360
Primary Contact
Lucas County Health Center
Ann Moon, Pharmacy Manager
(641) 774-3212
Addresses
Street Address
1200 N 7th St
Chariton, IA 50049
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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