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AMERITA
CAH451381-00 MOTHER FRANCES HOSPITAL-WINNSBORO
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Covered Entity Details
Entity Name
MOTHER FRANCES HOSPITAL-WINNSBORO
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451381-00
Entity Address
719 WEST COKE ROAD
WINNSBORO, TX 75494
Medicare Provider Number
451381
Participating Start Date
4/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
AMERITA
Pharmacy Address
CENTRAL LINE INFUSION DALLAS
8080 TRISTAR DR STE 120
IRVING, TX 75063-2823
Pharmacy Comments
Contract Details
Approval Date
10/8/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Harvey, CEO
(903) 439-4052
Contract Pharmacy Representative
Amerita, Inc.
Dan Van Valkenburg, Director, 340B Program
(810) 434-2710
Signed By Date
10/8/2019
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