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DSH160082AX IOWA METHODIST MEDICAL CENTER (Active)
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Main Details
Name
IOWA METHODIST MEDICAL CENTER
Subdivision Name
Iowa Lutheran Hospital - Adult Partial Hospitalization - 1031430
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH160082AX
Medicare Provider Number
160082
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/8/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/1/2019
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
UnityPoint Health - Des Moines
Jon Rozenfeld, Market President
(515) 241-6396
Primary Contact
UnityPoint Health Des Moines
Brian D. Benson, Executive Director of Pharmacy
(515) 241-3411
Addresses
Street Address
700 East University Avenue
Des Moines, IA 50316-2392
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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