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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 HEALTH INFUSION PHARMA
11520 SOUTH REDWOOD ROAD
SOUTH JORDAN, UT 84095
Pharmacy Comments
Contract Details
Approval Date
5/4/2023
Contract Begin Date
5/8/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
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
5/4/2023
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