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HY-VEE, INC.
CAH161381-00 SANFORD SHELDON MEDICAL CENTER
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Covered Entity Details
Entity Name
SANFORD SHELDON MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161381-00
Entity Address
118 N. 7TH AVE
SHELDON, IA 51201-1235
Medicare Provider Number
161381
Participating Start Date
4/1/2011
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
HY-VEE, INC.
Pharmacy Address
HY-VEE PHARMACY 1573
1989 PARK ST.
PO BOX 408
SHELDON, IA 51201
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stan Knobloch, Director of Finance
(712) 472-6143
Contract Pharmacy Representative
Hy Vee
Kristin Williams, Senior VP, Pharmacy Operations
(515) 559-5780
Signed By Date
10/12/2018
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