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CAH161301-01 BELMOND COMMUNITY HOSPITAL (Active)
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Main Details
Name
BELMOND COMMUNITY HOSPITAL
Subdivision Name
Belmond Community Hospital / Hampton Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161301-01
Medicare Provider Number
161301
Outpatient Facility Provider Number
168559
Additional Details
Current Program Status
Active
Registration Date
1/2/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/13/2015
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Iowa Specialty Hospital - Clarion and Belmond Community Hospital
GREG POLZIN, CFO
(641) 444-5623
Primary Contact
Iowa Specialty Hospital
REAGAN SWISHER, CCO
(641) 444-5624
Addresses
Street Address
700 2ND ST SE
Suite 101
HAMPTON, IA 50441-2655
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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