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IHC HEALTH SERVICES, INC.
RRC460015-00 LOGAN REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
LOGAN REGIONAL HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC460015-00
Entity Address
1400 NORTH 500 EAST
LOGAN, UT 84341
Medicare Provider Number
460015
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
IHC HEALTH SERVICES, INC.
Pharmacy Address
DBA: INTERMOUNTAIN SPECIALTY PHARMACY
4393 RIVERBOAT RD SUITE 101
TAYLORSVILLE, UT 84123
Pharmacy Comments
Contract Details
Approval Date
4/25/2023
Contract Begin Date
4/25/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/24/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Justin Wiser, Finance Director
(435) 716-5331
Contract Pharmacy Representative
Intermountain Healthcare
Carrie Dunford, Chief Pharmacy Officer
(801) 284-1004
Signed By Date
4/13/2023
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