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THRIFTY WHITE PARTNERS IN CARE
CAH161369-00 CRAWFORD COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CRAWFORD COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161369-00
Entity Address
100 MEDICAL PARKWAY
DENISON, IA 51442-2210
Medicare Provider Number
161369
Participating Start Date
4/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
THRIFTY WHITE PARTNERS IN CARE
Pharmacy Address
706 38TH ST NW UNIT B
FARGO, ND 58102
Pharmacy Comments
Contract Details
Approval Date
7/12/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rachel Melby, CHIEF FINANCIAL OFFICER
(712) 265-2505
Contract Pharmacy Representative
Thrifty White Pharmacy
Timothy Loiselle, Revenue Cycle Analyst
(763) 463-4478
Signed By Date
7/12/2022
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