340B Drug Pricing Program Database
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CAH161361-00 Hamilton County Public Hospital d/b/a Van Diest Medical Center (Active)
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Main Details
Name
Hamilton County Public Hospital d/b/a Van Diest Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161361-00
Medicare Provider Number
161361
Additional Details
Current Program Status
Active
Registration Date
1/7/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/9/2014
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Hamilton County Public Hospital
Ashley Nicole Allers, CFO
(515) 832-7705
Primary Contact
Van Diest Medical Center
Jordan Wagner, Director of Pharmacy
(515) 832-7744
Addresses
Street Address
2350 Hospital Drive
Webster City, IA 50595
Billing Address
Van Diest Medical Center
PO Box 430
Webster City, IA 50595-0430
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/14/2014 - 340B ID updated with correct Medicare provider number.
06/14/2014
May 2025
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