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ST. MATTHEWS SPECIALTY PHARMACY
CAH181330-00 RUSSELL COUNTY HOSPITAL
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Covered Entity Details
Entity Name
RUSSELL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181330-00
Entity Address
153 DOWELL ROAD
RUSSELL SPRINGS, KY 42642
Medicare Provider Number
181330
Participating Start Date
7/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ST. MATTHEWS SPECIALTY PHARMACY
Pharmacy Address
DBA ST. MATTHEWS SPECIALTY PHARMACY
200 N HURSTBOURNE PKWY STE 176
LOUISVILLE, KY 40222
Pharmacy Comments
Contract Details
Approval Date
4/4/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Janie Landis, CFO
(270) 866-4753
Contract Pharmacy Representative
St. Matthews Specialty Pharmacy
Clay Rhodes, Managing Member
(859) 552-3334
Signed By Date
4/4/2019
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