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CAH161311-02 Hawarden Regional Healthcare (Active)
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Main Details
Name
Hawarden Regional Healthcare
Subdivision Name
Hawarden Regional Healthcare Akron Clinic - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161311-02
Medicare Provider Number
161311
Outpatient Facility Provider Number
168641
Additional Details
Current Program Status
Active
Registration Date
4/2/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/7/2021
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Hawarden Regional Healthcare
Jayson Pullman, CEO
(712) 551-3103
Primary Contact
Hawarden Regional Healthcare
Naomi Graves, Pharmacist
(712) 551-3173
Addresses
Street Address
321 Mill Street
Akron, IA 51001-7712
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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