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Walgreens #21435
CAH461307-00 IHC Health Services Inc. DBA Intermountain Health Heber Valley Hospital
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Covered Entity Details
Entity Name
IHC Health Services Inc. DBA Intermountain Health Heber Valley Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH461307-00
Entity Address
454 E Medical Way
Heber City, UT 84032
Medicare Provider Number
461307
Participating Start Date
4/1/2013
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
Walgreens #21435
Pharmacy Address
Walgreens Central Fill #21435
6306 S Airport Rd
West Jordan, UT 84084-5601
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/13/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennilyn Ferry, Finance Director
(435) 658-6709
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2023
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