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TOWNCREST PHARMACY VAN HORNE
CAH161349-01 Virginia Gay Hospital
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Covered Entity Details
Entity Name
Virginia Gay Hospital
Subdivision Name
Van Horne Family Medical Clinic
Type
Critical Access Hospital
340B ID
CAH161349-01
Entity Address
205 Main St
Van Horne, IA 52346
Medicare Provider Number
161349
Outpatient Facility Provider Number
182103
Participating Start Date
7/1/2013
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
TOWNCREST PHARMACY VAN HORNE
Pharmacy Address
122 MAIN ST
VAN HORNE, IA 52346
Pharmacy Comments
Contract Details
Approval Date
4/5/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Euan Macgregor, Chief Operating Officer
(319) 472-6379
Contract Pharmacy Representative
Cornerstone Apothecary
Bethany Hoopes, Contract Pharmacy Representative
(319) 228-8100
Signed By Date
4/5/2023
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