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CAH281321-00 OAKLAND MERCY DBA MERCYONE OAKLAND MEDICAL CENTER (Terminated)
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Main Details
Name
OAKLAND MERCY DBA MERCYONE OAKLAND MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281321-00
Medicare Provider Number
281321
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/20/2017
Last Recertification Date
9/11/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
MercyOne
Jesica Hanson, VP of Finance
(712) 279-5850
Primary Contact
MercyOne Siouxland Medical Center
Adam Mathis, 340B Program Coordinator
(712) 279-2310
Addresses
Street Address
601 EAST 2ND STREET
OAKLAND, NE 68045
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/19/17 Participating 9/30/2010 until terminated effective 10/1/2015, reinstated effective 7/1/2017.
04/20/2017
May 2025
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