340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCH160064-20 MERCY MEDICAL CENTER - NORTH IOWA (Terminated)
Print
Main Details
Name
MERCY MEDICAL CENTER - NORTH IOWA
Subdivision Name
Mercy Advanced Wound Center and Continence Clinic
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH160064-20
Medicare Provider Number
160064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/13/2014
Last Recertification Date
8/21/2015
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
MercyOne North Iowa Medical Center
DANETTE ZOOK, RHM VP Finance
(641) 428-7989
Primary Contact
Mercy Medical Center - North Iowa
Craig Osland, Director of Pharmacy
(641) 428-7605
Addresses
Street Address
1501 4th Street SW
MASON CITY, IA 50401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session