340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH161322-02 Dallas County Hospital (Active)
Print
Main Details
Name
Dallas County Hospital
Subdivision Name
DCH FAMILY MEDICINE - FAMILY MEDICINE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161322-02
Medicare Provider Number
161322
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/27/2020
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Dallas County Hospital
Angela Mortoza, Chief Executive Officer
(515) 465-7628
Primary Contact
Dallas County Hospital
Tricia Kay Steiner, CPC, Compliance and Risk Coordinator, Privacy Officer
(515) 465-7555
Addresses
Street Address
319 E. Main St.
PANORA, IA 50216
Billing Address
Dallas County Hospital
610 10th St.
PERRY, IA 50220
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session