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Hy-Vee Pharmacy Fulfillment Center #4016
CAH161307-00 HANCOCK COUNTY HEALTH SYSTEM
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Covered Entity Details
Entity Name
HANCOCK COUNTY HEALTH SYSTEM
Subdivision Name
HANCOCK COUNTY HEALTH SYSTEM
Type
Critical Access Hospital
340B ID
CAH161307-00
Entity Address
532 1ST STREET NW
BRITT, IA 50423
Medicare Provider Number
161307
Participating Start Date
8/9/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
Hy-Vee Pharmacy Fulfillment Center #4016
Pharmacy Address
Hy-Vee Inc
4707 Fleur Dr
Des Moines, IA 50321
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/17/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Julia C Bowman, Chief Financial Officer
(641) 843-5010
Contract Pharmacy Representative
Hy-Vee, Inc
Ashley Plum, 340B Coordinator
(515) 559-5708
Signed By Date
10/11/2023
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