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HY-VEE, INC.
CAH161349-03 Virginia Gay Hospital
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Covered Entity Details
Entity Name
Virginia Gay Hospital
Subdivision Name
Urbana Family Medical Clinic
Type
Critical Access Hospital
340B ID
CAH161349-03
Entity Address
1002 W Main St
Urbana, IA 52345
Medicare Provider Number
161349
Outpatient Facility Provider Number
163485
Participating Start Date
7/1/2013
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
HY-VEE, INC.
Pharmacy Address
HY-VEE DOLLAR FRESH
911 S K AVE
VINTON, IA 52349-1073
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
Hy-Vee Inc
Marshall Sanders, Program Manager
(515) 267-6009
Signed By Date
4/5/2023
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