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OPTUM PHARMACY 705, LLC
CAH251309-00 FIELD MEMORIAL COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
FIELD MEMORIAL COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251309-00
Entity Address
178 HWY 24
CENTREVILLE, MS 39631-4171
Medicare Provider Number
251309
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 705, LLC
Pharmacy Address
1100 LEE BRANCH LN
BIRMINGHAM, AL 35242-7298
Pharmacy Comments
Contract Details
Approval Date
10/14/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bernard Richard Williams, III, CEO/Administrator
(601) 890-0545
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/14/2022
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