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MEDICAL ARTS PHARMACY
CAH171354-00 COMMUNITY HEALTHCARE SYSTEM, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTHCARE SYSTEM, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171354-00
Entity Address
120 W 8TH STREET
ONAGA, KS 66521
Medicare Provider Number
171354
Participating Start Date
9/16/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
MEDICAL ARTS PHARMACY
Pharmacy Address
701 MAIN ST
SENECA, KS 66538
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MONICA HOLTHAUS, CFO
(785) 889-5036
Contract Pharmacy Representative
Medical Arts Pharmacy
Julie Hammes, Controller
(785) 336-6146
Signed By Date
7/17/2018
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