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ACCREDO HEALTH GROUP, INC.
CAH061318-00 KREMMLING MEMORIAL HOSPITAL DISTRICT
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Covered Entity Details
Entity Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061318-00
Entity Address
214 S. FOURTH STREET
KREMMLING, CO 80459
Medicare Provider Number
061318
Participating Start Date
1/1/2015
Last Recertification Date
9/6/2024
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
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra Plemmons, CNO
(970) 724-3121
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/15/2020
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