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ACCREDO HEALTH GROUP, INC.
CAH281355-00 OGALLALA COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
OGALLALA COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281355-00
Entity Address
2601 North Spruce Street
Ogallala, NE 69153
Medicare Provider Number
281355
Participating Start Date
9/28/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DENA KLOCKMAN, CHIEF FINANCIAL OFFICER
(308) 284-7263
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/11/2019
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