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VITAL CARE OF MERIDIAN
CAH251316-00 H.C. WATKINS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
H.C. WATKINS MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251316-00
Entity Address
605 S ARCHUSA AVE
QUITMAN, MS 39355-2331
Medicare Provider Number
251316
Participating Start Date
4/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
VITAL CARE OF MERIDIAN
Pharmacy Address
1501 23RD AVE
MERIDIAN, MS 39301
Pharmacy Comments
Contract Details
Approval Date
7/13/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Suzanne Mize, 340B Administrator
(205) 459-9180
Contract Pharmacy Representative
Vital Care
Brad Gilchrist, COO
(601) 482-4003
Signed By Date
7/13/2018
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