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PLAINVIEW FAMILY PHARMACY
CAH281346-00 ALEGENT CREIGHTON HEALTH d/b/a CHI Health Plainview
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Covered Entity Details
Entity Name
ALEGENT CREIGHTON HEALTH d/b/a CHI Health Plainview
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281346-00
Entity Address
704 N 3rd St
Plainview, NE 68769
Medicare Provider Number
281346
Participating Start Date
10/1/2011
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
PLAINVIEW FAMILY PHARMACY
Pharmacy Address
103 S MAIN ST
PLAINVIEW, NE 68769-4121
Pharmacy Comments
Contract Details
Approval Date
4/2/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Greg Beckmann, President, Regional Hospital
(402) 582-4245 Ext: 1273
Contract Pharmacy Representative
Dendinger Drug, LLC dba Plainview Family Pharmacy
Ashley Dendinger, Owner
(402) 582-4202
Signed By Date
4/2/2020
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