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MIIVRX
CAH231312-00 SHERIDAN COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
SHERIDAN COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231312-00
Entity Address
301 N MAIN STREET
SHERIDAN, MI 48884
Medicare Provider Number
231312
Participating Start Date
7/1/2017
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
MIIVRX
Pharmacy Address
49 E ISABELLA RD
SUITE A
MIDLAND, MI 48640-8356
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
1/28/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Bobbi McColley, COMPLIANCE OFFICER
(989) 291-6302
Contract Pharmacy Representative
MIIVRX
Kevin Roeder, Director of Pharmacy
(866) 868-3636
Signed By Date
7/15/2020
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