340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ACCREDO HEALTH GROUP, INC.
CAH171385-03 Coffey County Hospital
Print
Covered Entity Details
Entity Name
Coffey County Hospital
Subdivision Name
COFFEY COUNTY MEDICAL CENTER - PRIMARY CARE
Type
Critical Access Hospital
340B ID
CAH171385-03
Entity Address
309 SANDERS
BURLINGTON, KS 66839
Medicare Provider Number
171385
Outpatient Facility Provider Number
173982
Participating Start Date
4/1/2018
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leonard Ray Hernandez, CEO
(620) 364-4570
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session