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HEALTHY OPTIONS INC
CAH231309-00 ASPIRUS ONTONAGON HOSPITAL
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Covered Entity Details
Entity Name
ASPIRUS ONTONAGON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231309-00
Entity Address
601 S. SEVENTH STREET
ONTONAGON, MI 49953
Medicare Provider Number
231309
Participating Start Date
1/1/2011
Last Recertification Date
8/24/2023
Entity Termination Date
7/1/2024
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
1/13/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
PAT TINCHER, Vice President-Finance, Regional Markets
(715) 847-2425
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/13/2021
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