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WAL-MART PHARMACY 10-0598
CAH281306-00 KEARNEY CO HEALTH SERVICES
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Covered Entity Details
Entity Name
KEARNEY CO HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281306-00
Entity Address
727 EAST 1ST STREET
MINDEN, NE 68959
Medicare Provider Number
281306
Participating Start Date
10/1/2016
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0598
Pharmacy Address
5411 N SECOND AVENUE
KEARNEY, NE 68847
Pharmacy Comments
Contract Details
Approval Date
4/3/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Luke David Poore, Chief Executive Officer
(308) 832-3400 Ext: 2800
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
4/3/2019
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