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CAH261336-01 IRON COUNTY HOSPITAL (Active)
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Main Details
Name
IRON COUNTY HOSPITAL
Subdivision Name
RURAL HEALTH CLINIC
Type
Critical Access Hospital
Rural
No
340B ID
CAH261336-01
Medicare Provider Number
261336
Outpatient Facility Provider Number
268642
Additional Details
Current Program Status
Active
Registration Date
7/8/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/15/2016
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Iron County Hospital District
Brittany Mooney, Controller
(573) 546-8096
Primary Contact
Iron County Hospital District
Zachary Gibson, Pharmacist
(573) 546-8047
Addresses
Street Address
301 N. Hwy 21
RURAL HEALTH CLINIC
PILOT KNOB, MO 63663-0329
Billing Address
Iron County Medical Center
301 N. Hwy 21
P.O. Box 548
Pilot Knob, MO 63663
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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