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DSH160083AA CATHOLIC HEALTH INITIATIVES - IOWA, CORP (Terminated)
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Main Details
Name
CATHOLIC HEALTH INITIATIVES - IOWA, CORP
Subdivision Name
Mercy North Surgery Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH160083AA
Medicare Provider Number
160083
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/6/2015
Last Recertification Date
8/24/2018
Termination Date
Termination Reason
7/1/2019
Other
Contacts
Authorizing Official
Catholic Health Initiatives, Iowa Corp.
Randall Rubin, Senior Vice President Chief Financial Officer
(515) 643-2860
Primary Contact
Catholice Health Initiatives, Iowa Corp.
Gregory A. Young, DIRECTOR OF PHARMACY
(515) 247-3262
Addresses
Street Address
800 E. First Street
Suite 1700
Ankeny, IA 50021
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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