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STERLING SPECIALTY PHARMACY
SCH160064-00 MERCYONE NORTH IOWA MEDICAL CENTER
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Covered Entity Details
Entity Name
MERCYONE NORTH IOWA MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH160064-00
Entity Address
1000 4TH STREET SW
MASON CITY, IA 50401
Medicare Provider Number
160064
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
STERLING SPECIALTY PHARMACY
Pharmacy Address
1312 NORTHLAND DRIVE
SUITE 500
MENDOTA HEIGHTS, MN 55120-1140
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/11/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
DANETTE ZOOK, RHM VP Finance
(641) 428-7989
Contract Pharmacy Representative
Sterling Specialty Pharmacy
Ty Heuer, VP of Payor Services
(507) 519-2337
Signed By Date
4/15/2019
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