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KENTUCKY CENTRAL FILL FACILITY, L-010
CHC00680-00 COMMUNITY HEALTH & EMERGENCY SERVICES, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH & EMERGENCY SERVICES, INC
Subdivision Name
CAIRO MEGA CLINIC
Type
HRSA-Funded Health Center
340B ID
CHC00680-00
Entity Address
13245 Kessler Rd
Cairo, IL 62914-3101
Grant Number
H80CS00680
Participating Start Date
1/1/2009
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
KENTUCKY CENTRAL FILL FACILITY, L-010
Pharmacy Address
5594 SHEPHERDSVILLE ROAD
LOUISVILLE, KY 40228-1012
Pharmacy Comments
Contract Details
Approval Date
10/4/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/8/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Frederick Bernstein, CEO
(618) 457-0450 Ext: 3901
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/4/2021
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