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HY-VEE, INC.
CAH161307-00 HANCOCK COUNTY HEALTH SYSTEM
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Covered Entity Details
Entity Name
HANCOCK COUNTY HEALTH SYSTEM
Subdivision Name
HANCOCK COUNTY HEALTH SYSTEM
Type
Critical Access Hospital
340B ID
CAH161307-00
Entity Address
532 1ST STREET NW
BRITT, IA 50423
Medicare Provider Number
161307
Participating Start Date
8/9/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
HY-VEE, INC.
Pharmacy Address
HY-VEE PHARMACY (1190)
315 NORTH HIGHWAY 69
FOREST CITY, IA 50436-1355
Pharmacy Comments
Contract Details
Approval Date
4/11/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/21/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JULIE DAMM, CHIEF FINANCIAL OFFICER
(641) 843-5148
Contract Pharmacy Representative
Hy-Vee, Inc
Ashley Plum, 340B Coordinator
(515) 559-5708
Signed By Date
4/11/2019
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