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ASCENSION RX 1001
RRC170006-00 Mercy Hospital Pittsburg, Inc.
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Covered Entity Details
Entity Name
Mercy Hospital Pittsburg, Inc.
Subdivision Name
Type
Rural Referral Center
340B ID
RRC170006-00
Entity Address
1 MT. CARMEL WAY
1102 EAST CENTENNIAL
PITTSBURG, KS 66762
Medicare Provider Number
170006
Participating Start Date
9/24/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ASCENSION RX 1001
Pharmacy Address
ASCENSION PHARMACY SERVICES, LLC.
7701 METROPOLIS DR STE 200B
AUSTIN, TX 78744-3125
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
7/14/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Drew Kirkson Talbott, VP Operations
(620) 232-0110
Contract Pharmacy Representative
Ascension Rx
Angela Pascuzzi, Pharmacist In Charge
(833) 633-7279
Signed By Date
10/4/2021
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