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AMBERWELL PHARMACY
CAH171341-00 Hiawatha Hospital Association, Inc
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Covered Entity Details
Entity Name
Hiawatha Hospital Association, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171341-00
Entity Address
300 UTAH ST.
HIAWATHA, KS 66434-2399
Medicare Provider Number
171341
Participating Start Date
4/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
AMBERWELL PHARMACY
Pharmacy Address
ADVOCATE HEALTH SERVICES, INC
300 UTAH ST STE 101
HIAWATHA, KS 66434
Pharmacy Comments
Contract Details
Approval Date
10/7/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alison Kerl, Chief Operating Officer
(785) 742-6258
Contract Pharmacy Representative
Advocate Health
Nealy Stemple, Director of Retail Pharmacy Services
(913) 367-1654
Signed By Date
10/7/2022
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