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CAH161306-01 ST. LUKE'S JONES REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
ST. LUKE'S JONES REGIONAL MEDICAL CENTER
Subdivision Name
UnityPoint Health-Family Medicine Clinic-Clarence - Family Practice
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161306-01
Medicare Provider Number
161306
Outpatient Facility Provider Number
168592
Additional Details
Current Program Status
Active
Registration Date
4/11/2018
Participating Start Date
7/1/2018
Participating Approval Date
6/6/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
St. Luke's Jones Regional Medical Center
ERIC BRIESEMEISTER, CEO
(319) 481-6301
Primary Contact
St. Luke's Jones Regional Medical Center
RACHEL VONBEHREN, DIRECTOR OF FISCAL SERVICES
(319) 481-6302
Addresses
Street Address
411 1st Avenue
Clarence, IA 52216
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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