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ST. ANSGAR PHARMACY
CAH161323-00 Mitchell County Regional Health Center
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Covered Entity Details
Entity Name
Mitchell County Regional Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161323-00
Entity Address
616 N. 8TH STREET
OSAGE, IA 50461
Medicare Provider Number
161323
Participating Start Date
1/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
ST. ANSGAR PHARMACY
Pharmacy Address
140 W 4TH ST STE 3A
SAINT ANSGAR, IA 50472
Pharmacy Comments
Contract Details
Approval Date
2/21/2024
Contract Begin Date
2/22/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregory J. Burkel, EXECUTIVE FINANCE OFFICER
(641) 732-6070
Contract Pharmacy Representative
St. Ansgar Pharmacy
Ashley Steinberg, Pharmacist in Charge
(641) 713-4381
Signed By Date
2/21/2024
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