340B Drug Pricing Program Database
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DSH160082BV 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 Blank Children's Orthopaedics - 2042410
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH160082BV
Medicare Provider Number
160082
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/7/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/3/2022
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
1215 PLEASANT STREET
PERINATAL CENTER
116
DES MOINES, IA 50309-1409
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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