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HEALTHY OPTIONS INC
CAH361326-01 ADAMS COUNTY HOSPITAL DBA ADAMS COUNTY REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
ADAMS COUNTY HOSPITAL DBA ADAMS COUNTY REGIONAL MEDICAL CENTER
Subdivision Name
Family Medicine Georgetown - Family Medicine
Type
Critical Access Hospital
340B ID
CAH361326-01
Entity Address
900 Mt Orab Pike
Georgetown, OH 45121
Medicare Provider Number
361326
Outpatient Facility Provider Number
363418
Participating Start Date
10/1/2020
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
HEALTHY OPTIONS INC
Pharmacy Address
DBA POSTAL PRESCRIPTION SVCS
3500 SE 26TH AVE
PO BOX 2718
PORTLAND, OR 97202
Pharmacy Comments
Contract Details
Approval Date
10/5/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/10/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Pete R Dagenbach, CFO
(937) 386-3007
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/5/2020
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