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CHI HEALTH PHARMACY - MIDLANDS
CAH161304-00 ALEGENT HEALTH - MERCY HOSPITAL, CORNING, IOWA d/b/a CHI Health Mercy Corning
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Covered Entity Details
Entity Name
ALEGENT HEALTH - MERCY HOSPITAL, CORNING, IOWA d/b/a CHI Health Mercy Corning
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161304-00
Entity Address
603 ROSARY DRIVE
CORNING, IA 50841
Medicare Provider Number
161304
Participating Start Date
9/29/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
CHI HEALTH PHARMACY - MIDLANDS
Pharmacy Address
11109 S. 84TH ST. STE 1841
PAPILLION, NE 68046
Pharmacy Comments
02/03/2012 changed CP name (was Midlands Pharmacy)
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Wolfe, ADMINISTRATOR
(641) 322-6270
Contract Pharmacy Representative
CHI Health
Gregory Schardt, Division Director of Pharmacy Operations
(402) 206-3370
Signed By Date
10/11/2019
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