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HY-VEE, INC.
CAH161347-00 FLOYD COUNTY HOSPITAL
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Covered Entity Details
Entity Name
FLOYD COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161347-00
Entity Address
800 11th Street
CHARLES CITY, IA 50616
Medicare Provider Number
161347
Participating Start Date
7/1/2018
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
HY-VEE, INC.
Pharmacy Address
4707 FLEUR DR.
DES MOINES, IA 50321
Pharmacy Comments
Contract Details
Approval Date
10/5/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Clarence Anderson, Chief Financial Officer
(641) 257-2650
Contract Pharmacy Representative
Floyd County Medical Center
Tammy Litterer, Pharmacy Manager
(641) 257-4312
Signed By Date
10/5/2020
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