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THRIFTY WHITE PARTNERS IN CARE
CAH241314-00 Dawson Area Hospital District, d/b/a Johnson Memorial Health Services
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Covered Entity Details
Entity Name
Dawson Area Hospital District, d/b/a Johnson Memorial Health Services
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241314-00
Entity Address
1282 Walnut Street
Dawson, MN 56232
Medicare Provider Number
241314
Participating Start Date
7/1/2013
Last Recertification Date
8/29/2024
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
7/14/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Crystal M. Bothun, Chief Financial Officer
(320) 312-2104
Contract Pharmacy Representative
JMHS
Whitney Redepenning, Pharmacy Manager
(320) 312-2106
Signed By Date
7/14/2022
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