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DSH160082BK IOWA METHODIST MEDICAL CENTER (Active)
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Main Details
Name
IOWA METHODIST MEDICAL CENTER
Subdivision Name
CENTRAL IOWA HOSPITAL CORPORATION - UnityPoint Health Des Moines - Cardiology - Lakeview 2043010
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH160082BK
Medicare Provider Number
160082
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2021
Participating Start Date
10/1/2021
Participating Approval Date
8/23/2021
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
6000 UNIVERSITY AVENUE
UNITYPOINT HEALTH-CARDIOLOGY-LAKEVI
A20
WEST DES MOINES, IA 50266-8200
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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