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CAH161371-00 Winneshiek Medical Center (Active)
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Main Details
Name
Winneshiek Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161371-00
Medicare Provider Number
161371
Additional Details
Current Program Status
Active
Registration Date
4/11/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/11/2014
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Winneshiek Medical Center
Benjamin William Stevens, CFO
(563) 382-2911
Primary Contact
Winneshiek Medical Center
Theresa Ann Thorson, Program Coordinator
(563) 387-3122
Addresses
Street Address
901 Montgomery St
Decorah, IA 52101
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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