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MUNSON HEALTHCARE MANISTEE HOSPITAL
CAH231300-00 PAUL OLIVER MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PAUL OLIVER MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231300-00
Entity Address
224 PARK AVENUE
FRANKFORT, MI 49635
Medicare Provider Number
231300
Participating Start Date
9/20/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
MUNSON HEALTHCARE MANISTEE HOSPITAL
Pharmacy Address
ATTN: PHARMACY
1465 E PARKDALE AVE
MANISTEE, MI 49660
Pharmacy Comments
Contract Details
Approval Date
4/6/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathleen M LaRaia, Vice President
(231) 392-8410
Contract Pharmacy Representative
Munson Healthcare Manistee Hospital
Ron Villamaria, Director of Pharmacy Services
(231) 398-1158
Signed By Date
4/6/2024
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