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BOONE MEMORIAL HOSPITAL OUTPATIENT PHARM
FQHCLA337 RURAL HEALTH ACCESS CORPORATION
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Covered Entity Details
Entity Name
RURAL HEALTH ACCESS CORPORATION
Subdivision Name
Coalfield Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA337
Entity Address
386 Airport Road
Chapmanville, WV 25508
Grant Number
LALCS00112
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BOONE MEMORIAL HOSPITAL OUTPATIENT PHARM
Pharmacy Address
697 MADISON AVE
MADISON, WV 25130-1669
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kristin Dial, Executive Director
(304) 855-1228
Contract Pharmacy Representative
Boone Memorial Hospital
Angela Christian, Executive Director of Ancillary Services
(304) 369-1230 Ext: 5517
Signed By Date
4/15/2020
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