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HY-VEE PHARMACY SOLUTIONS
CAH161366-00 Shenandoah Medical Center
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Covered Entity Details
Entity Name
Shenandoah Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161366-00
Entity Address
300 Pershing Ave
Shenandoah, IA 51601-2355
Medicare Provider Number
161366
Participating Start Date
10/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY SOLUTIONS
Pharmacy Address
HYVACS, LLC
10004 S. 152ND ST., SUITE C
OMAHA, NE 68138
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/7/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Matthew Richard Sells, President and CEO
(712) 246-7160
Contract Pharmacy Representative
Amber Enterprises
Kelley Miller, 340B Program Manager
(402) 861-7560
Signed By Date
10/15/2019
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