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CAH171373-01 Saint Luke’s Hospital of Allen County, Inc., d.b.a. Allen County Regional Hospital (Active)
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Main Details
Name
Saint Luke’s Hospital of Allen County, Inc., d.b.a. Allen County Regional Hospital
Subdivision Name
ALLEN COUNTY REGIONAL CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171373-01
Medicare Provider Number
171373
Outpatient Facility Provider Number
178578
Additional Details
Current Program Status
Active
Registration Date
7/3/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/5/2017
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Saint Lukes Health System
Pat Patton, Administrator
(785) 204-4006
Primary Contact
Saint Luke's Hospital of Allen County
Nicholas Lohman, Pharmacist
(620) 365-1122
Addresses
Street Address
826 E MADISON AVE
IOLA, KS 66749
Billing Address
Saint Luke's Health System Central Accounts Payable
PO BOX 5870
Kansas City, MO 64171-0870
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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