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ACCREDO HEALTH GROUP, INC.
CAH271344-00 SIDNEY HEALTH CENTER
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Covered Entity Details
Entity Name
SIDNEY HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271344-00
Entity Address
216 14TH AVE SW
SIDNEY, MT 59270
Medicare Provider Number
271344
Participating Start Date
9/15/2010
Last Recertification Date
8/20/2024
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
2/10/2022
Contract Begin Date
2/11/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Tina Montgomery, CFO
(406) 488-2117
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Senior Director 340B sales
(615) 943-7500
Signed By Date
2/10/2022
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