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CAH161337-00 VAN BUREN COUNTY HOSPITAL (Active)
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Main Details
Name
VAN BUREN COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH161337-00
Medicare Provider Number
161337
Additional Details
Current Program Status
Active
Registration Date
4/6/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/17/2017
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Van Buren County Hospital
Kara McEntee, CFO
(319) 293-8722
Primary Contact
Van Buren County Hospital
Mylo E Wells, Pharmacist In Charge
(319) 293-8713
Addresses
Street Address
304 FRANKLIN STREET
KEOSAUQUA, IA 52565-0070
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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