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SCH160005-00 ST. ANTHONY REGIONAL HOSPITAL (Terminated)
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Main Details
Name
ST. ANTHONY REGIONAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH160005-00
Medicare Provider Number
160005
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/20/2017
Last Recertification Date
9/12/2023
Termination Date
Termination Reason
5/22/2024
Other
Contacts
Authorizing Official
St. Anthony Regional Hospital and Nursing Home
Eric Clark Salmonson, CFO
(712) 794-5424
Primary Contact
St. Anthony Regional Hospital and Nursing Home
Erin Monthei, Pharmacist
(712) 794-5215
Addresses
Street Address
311 SOUTH CLARK STREET
CARROLL, IA 51401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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