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MAHASKA DRUG
CAH161315-00 Keokuk County Health Center
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Covered Entity Details
Entity Name
Keokuk County Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161315-00
Entity Address
23019 Highway 149
Sigourney, IA 52591
Medicare Provider Number
161315
Participating Start Date
7/1/2013
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
MAHASKA DRUG
Pharmacy Address
205 N E ST.
OSKALOOSA, IA 52577-2016
Pharmacy Comments
Contract Details
Approval Date
4/4/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Matthew Ives, Administrator/CFO
(641) 622-1155
Contract Pharmacy Representative
Keokuk County Health Center
Matthew Ives, Administrator/CFO
(641) 622-1155
Signed By Date
4/4/2024
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