340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ACCREDO HEALTH GROUP, INC.
DSH160057L Southeast Iowa Regional Medical Center
Print
Covered Entity Details
Entity Name
Southeast Iowa Regional Medical Center
Subdivision Name
WFC NURSERY - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - WFC Nursery
Type
Disproportionate Share Hospital
340B ID
DSH160057L
Entity Address
5445 Avenue O
Fort Madison, IA 52627
Medicare Provider Number
160057
Outpatient Facility Provider Number
Participating Start Date
4/1/2022
Last Recertification Date
8/12/2024
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
2/18/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeremy Alexander, CFO
(319) 768-3280
Contract Pharmacy Representative
Southeast Iowa Regional Medical Center
Steve Frigo, Director, Pharmacy
(319) 768-3971
Signed By Date
2/18/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session