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CAH161335-00 PEOPLES MEMORIAL HOSPITAL dba Buchanan County Health Center (Active)
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Main Details
Name
PEOPLES MEMORIAL HOSPITAL dba Buchanan County Health Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161335-00
Medicare Provider Number
161335
Additional Details
Current Program Status
Active
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/20/2015
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Buchanan County Health Center
Wade Eugene Weis, CEO
(319) 332-0900
Primary Contact
Buchanan County Health Center
Christopher Clayton, Director of Pharmacy
(319) 332-0894
Addresses
Street Address
1600 First Street East
INDEPENDENCE, IA 50644
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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