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SCH160016-00 TRINITY REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
TRINITY REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH160016-00
Medicare Provider Number
160016
Additional Details
Current Program Status
Active
Registration Date
7/10/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/21/2015
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Trinity Regional Medical Center
Sarah Marsh, Regional Vice President - Finance
(515) 574-6260
Primary Contact
Trinity Regional Medical Center (SCH160016)
Lance Fischer, Pharmacy Manager
(515) 574-6596
Addresses
Street Address
802 KENYON ROAD
FORT DODGE, IA 50501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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