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ACCREDO HEALTH GROUP, INC.
CAH171370-00 GOODLAND REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
GOODLAND REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171370-00
Entity Address
220 WEST SECOND STREET
GOODLAND, KS 67735
Medicare Provider Number
171370
Participating Start Date
1/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
PHARMACY
2 BOULDEN CIRCLE SUITE 1
NEW CASTLE, DE 19720
Pharmacy Comments
Contract Details
Approval Date
7/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Derick Lorentz, Chief Financial Officer
(785) 890-6003 Ext: 6003
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/12/2019
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