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CAH161328-03 REGIONAL HEALTH SERVICES OF HOWARD COUNTY (Active)
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Main Details
Name
REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Subdivision Name
Elma Medical Clinic - Family Practice
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH161328-03
Medicare Provider Number
161328
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/4/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/5/2023
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Regional Health Services of Howard County
Brandon Brevig, Chief Financial Officer
(563) 547-6677
Primary Contact
Regional Health Services of Howard County
Vicki Reinhart, 340B Coordinator
(563) 547-6633
Addresses
Street Address
600 Busti Ave
Elma, IA 50628
Billing Address
Regional Health Services of Howard County
235 8th Avenue West
Cresco, IA 52136
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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