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WASHINGTON HEALTH AND DRUG
CAH171363-00 Community Memorial Healthcare, Inc
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Covered Entity Details
Entity Name
Community Memorial Healthcare, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171363-00
Entity Address
708 N. 18th
Marysville, KS 66508-1338
Medicare Provider Number
171363
Participating Start Date
4/1/2012
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
WASHINGTON HEALTH AND DRUG
Pharmacy Address
227 C ST
WASHINGTON, KS 66968
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/29/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Curtis R. Hawkinson, CEO
(785) 562-4380
Contract Pharmacy Representative
Washington Healthmart
Dustin Rogge, Owner
(785) 325-3130
Signed By Date
1/15/2020
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