340B Drug Pricing Program Database
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DSH160082G IOWA METHODIST MEDICAL CENTER (Terminated)
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Main Details
Name
IOWA METHODIST MEDICAL CENTER
Subdivision Name
CENTRAL IOWA HOSPITAL CORPORATION / Wound Healing Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH160082G
Medicare Provider Number
160082
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/21/2017
Last Recertification Date
8/21/2019
Termination Date
Termination Reason
7/1/2020
Never implemented the 340B Program
Contacts
Authorizing Official
UnityPoint Des Moines
Eric Lothe, SVP/COO
(515) 241-5858
Primary Contact
UnityPoint Health Des Moines
Brian D. Benson, Executive Director of Pharmacy
(515) 241-3411
Addresses
Street Address
1215 PLEASANT ST
STE 308
DES MOINES, IA 50309-1409
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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