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MODERN MEDICAL SERVICES INC
CAH231306-00 MACKINAC STRAITS HOSPITAL & HEALTH CENTER
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Covered Entity Details
Entity Name
MACKINAC STRAITS HOSPITAL & HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231306-00
Entity Address
1140 NORTH STATE STREET
SAINT IGNACE, MI 49781
Medicare Provider Number
231306
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
MODERN MEDICAL SERVICES INC
Pharmacy Address
DBA MODERN PHARMACY
127 N MAIN ST
P.O. BOX 345
CHEBOYGAN, MI 49721-1637
Pharmacy Comments
Contract Details
Approval Date
7/14/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Speas, CFO
(906) 328-2144 Ext: 30842
Contract Pharmacy Representative
Modern Medical Services, Inc.
Travis Woiderski, General Manager
(231) 627-9949
Signed By Date
7/14/2022
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