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RAYS PHARMACY
CAH171367-00 GOVE COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
GOVE COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171367-00
Entity Address
520 WEST 5TH
QUINTER, KS 67752-0129
Medicare Provider Number
171367
Participating Start Date
7/1/2016
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
RAYS PHARMACY
Pharmacy Address
414 MAIN ST.
BOX 428
QUINTER, KS 67752
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Conner Fiscarelli, CEO
(785) 754-3341 Ext: 5155
Contract Pharmacy Representative
Rays Pharmacy
Jack Tebow, PIC/Pres
(785) 754-3312
Signed By Date
1/11/2024
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