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ANKENY MEDICAL PARK PHARMACY
DSH160082 IOWA METHODIST MEDICAL CENTER
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Covered Entity Details
Entity Name
IOWA METHODIST MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH160082
Entity Address
1200 PLEASANT STREET
DES MOINES, IA 50309
Medicare Provider Number
160082
Participating Start Date
7/1/2017
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
ANKENY MEDICAL PARK PHARMACY
Pharmacy Address
3625 N ANKENY BLVD
SUITE A
ANKENY, IA 50023
Pharmacy Comments
Contract Details
Approval Date
1/13/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paige L Jaeger, Vice President, Operations
(515) 241-4422
Contract Pharmacy Representative
Ankeny Med Park Pharmacy
Natasha Ripley, Manager, Pharmacy
(515) 965-4680
Signed By Date
1/13/2025
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