340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH161354-03 Ida County Iowa Community Hospital dba Horn Memorial Hospital (Active)
Print
Main Details
Name
Ida County Iowa Community Hospital dba Horn Memorial Hospital
Subdivision Name
Horn Physicians Clinic Odebolt
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161354-03
Medicare Provider Number
161354
Outpatient Facility Provider Number
168565
Additional Details
Current Program Status
Active
Registration Date
7/1/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/7/2016
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Ida County Iowa Community Hospital dba Horn Memorial Hospital
EMILY LANGE, CCO/CNO
(712) 364-7269
Primary Contact
Ida County Iowa Community Hospital dba Horn Memorial Hospital
Alex Weirich, Pharmacy Director
(712) 364-7253
Addresses
Street Address
300 S Maple St
Odebolt, IA 51458-7714
Billing Address
Ida County Iowa Community Hospital
701 E 2nd St
Ida Grove, IA 51445-1666
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.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
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