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RITE AID OF MICHIGAN, INC.
CAH231328-00 Ascension Borgess Allegan Hospital
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Covered Entity Details
Entity Name
Ascension Borgess Allegan Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231328-00
Entity Address
555 LINN STREET
ALLEGAN, MI 49010
Medicare Provider Number
231328
Participating Start Date
9/2/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
RITE AID OF MICHIGAN, INC.
Pharmacy Address
RITE AID #1534
560 JENNER DRIVE
ALLEGAN, MI 49010
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/14/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dorotha Hoffman, Interim Administrator
(269) 686-4162
Contract Pharmacy Representative
CaptureRX
Joe Mast, Rite Aid Key Account Manager
(717) 214-8538
Signed By Date
10/15/2020
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