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MIDWEST FAMILY HEALTH OF PLAINVILLE, LLC
CAH171311-00 ROOKS COUNTY HEALTH CENTER
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Covered Entity Details
Entity Name
ROOKS COUNTY HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171311-00
Entity Address
1210 N. WASHINGTON
PLAINVILLE, KS 67663
Medicare Provider Number
171311
Participating Start Date
1/1/2019
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
MIDWEST FAMILY HEALTH OF PLAINVILLE, LLC
Pharmacy Address
210 W MILL ST
PLAINVILLE, KS 67663-2227
Pharmacy Comments
Contract Details
Approval Date
12/6/2022
Contract Begin Date
12/6/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephanie Bjornstad, Special Projects Manager
(785) 434-4553 Ext: 433
Contract Pharmacy Representative
Midwest Family Health
Stacie Ricker, Owner
(785) 483-2119
Signed By Date
12/6/2022
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