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CAH161306-07 ST. LUKE'S JONES REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
ST. LUKE'S JONES REGIONAL MEDICAL CENTER
Subdivision Name
UnityPoint Health Jones Regional Medical Center Shellsburg Clinic-Family Practice - Family Practice
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161306-07
Medicare Provider Number
161306
Outpatient Facility Provider Number
168608
Additional Details
Current Program Status
Terminated
Registration Date
4/9/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/17/2019
Last Recertification Date
9/7/2022
Termination Date
Termination Reason
10/1/2023
Site closure
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
131 Main Street
Shellsburg, IA 52332
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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