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SMITH'S PHARMACY #214
CAH461307-00 IHC Health Services Inc. DBA Intermountain Health Heber Valley Hospital
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Covered Entity Details
Entity Name
IHC Health Services Inc. DBA Intermountain Health Heber Valley Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH461307-00
Entity Address
454 E Medical Way
Heber City, UT 84032
Medicare Provider Number
461307
Participating Start Date
4/1/2013
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
SMITH'S PHARMACY #214
Pharmacy Address
744 N MAIN ST
HEBER CITY, UT 84032
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nathan Empey, Director of Finance
(801) 357-7049
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
4/15/2019
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