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CENTRACARE PHARMACY HEALTH
DSH240088 RICE MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
RICE MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH240088
Entity Address
301 BECKER AVE. SW
WILLMAR, MN 56201
Medicare Provider Number
240088
Participating Start Date
6/25/2018
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
CENTRACARE PHARMACY HEALTH
Pharmacy Address
PLAZA
1900 CENTRACARE CIR
SUITE 1350
SAINT CLOUD, MN 56303-5000
Pharmacy Comments
Contract Details
Approval Date
10/3/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carnita Rae Allex, Administrator
(507) 637-4500 Ext: 47301
Contract Pharmacy Representative
St Cloud Hospital
Mary Phipps, Senior Director Pharmacy
(320) 251-2700 Ext: 71287
Signed By Date
10/3/2019
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