340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH171341-01 Hiawatha Hospital Association, Inc (Active)
Print
Main Details
Name
Hiawatha Hospital Association, Inc
Subdivision Name
Amberwell Hiawatha Primary Care Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171341-01
Medicare Provider Number
171341
Outpatient Facility Provider Number
173464
Additional Details
Current Program Status
Active
Registration Date
10/1/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/5/2014
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Hiawatha Hospital Association, Inc
Alison Kerl, Chief Operating Officer
(785) 742-6258
Primary Contact
Amberwell Health
William Glenski, Executive Director of Pharmacy
(913) 674-2383
Addresses
Street Address
300 UTAH ST 2ND FLOOR
HIAWATHA, KS 66434-2314
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