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CAH161312-01 GUTTENBERG MUNICIPAL HOSPITAL (Active)
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Main Details
Name
GUTTENBERG MUNICIPAL HOSPITAL
Subdivision Name
Cornerstone Family Practice
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161312-01
Medicare Provider Number
161312
Outpatient Facility Provider Number
168552
Additional Details
Current Program Status
Active
Registration Date
10/12/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/26/2018
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Guttenberg Municipal Hospital & Clinics
Timothy J Ahlers, CEO
(563) 252-5529
Primary Contact
Guttenberg Municipal Hospital
Jill Knepper, Director of Finance & Support Services
(563) 252-5530
Addresses
Street Address
200 MAIN ST
CORNERSTONE FAMILY PRACTICE
GUTTENBERG, IA 52052-9108
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial start 7/1/2017, Termination 10/1/2018, Reinstate 1/1/2019
11/21/2018
April 2025
April 2025
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