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ADVENTIST HEALTH HOWARD MEMORIAL
CAH051310-00 Willits Hospital Inc., DBA Adventist Health Howard Memorial
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Covered Entity Details
Entity Name
Willits Hospital Inc., DBA Adventist Health Howard Memorial
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051310-00
Entity Address
One Marcela Drive
Willits, CA 95490-5769
Medicare Provider Number
051310
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ADVENTIST HEALTH HOWARD MEMORIAL
Pharmacy Address
3 MARCELA DR STE B
WILLITS, CA 95490-5769
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/13/2021
Ownership change
Contacts
Covered Entity Signing Official
Judson Howe, Network President
(707) 467-5352
Contract Pharmacy Representative
Adventist Health Ukiah Valley
Judson Howe, Network President
(707) 467-5352
Signed By Date
7/15/2020
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