340B Drug Pricing Program Database
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DSH160082D IOWA METHODIST MEDICAL CENTER (Terminated)
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Main Details
Name
IOWA METHODIST MEDICAL CENTER
Subdivision Name
IOWA METHODIST HAND CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH160082D
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
11/7/2017
Termination Date
Termination Reason
10/1/2018
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
6001 WESTOWN PKWY #101
WEST DES MOINES, IA 50266-7702
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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