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WAL-MART PHARMACY 10-0790
CAH281351-00 Chase County Community Hospital
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Covered Entity Details
Entity Name
Chase County Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281351-00
Entity Address
600 W 12th St
Imperial, NE 69033
Medicare Provider Number
281351
Participating Start Date
7/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0790
Pharmacy Address
1902 WEST "B"
MCCOOK, NE 69001
Pharmacy Comments
Contract Details
Approval Date
10/3/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Steve Lewis, CEO
(308) 882-7111
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
10/3/2019
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