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SABETHA PHARMACY INC
CAH171338-00 Great Plains of Sabetha, Inc. dba Sabetha Community Hospital
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Covered Entity Details
Entity Name
Great Plains of Sabetha, Inc. dba Sabetha Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171338-00
Entity Address
603 S. 14th St.
Sabetha, KS 66534-0229
Medicare Provider Number
171338
Participating Start Date
10/1/2014
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
SABETHA PHARMACY INC
Pharmacy Address
934 MAIN ST
SABETHA, KS 66534
Pharmacy Comments
Contract Details
Approval Date
5/9/2024
Contract Begin Date
5/9/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Longabaugh, CEO
(785) 284-2121
Contract Pharmacy Representative
MidKanRX
Dustin Rogge, Pharmacist
(785) 325-3130
Signed By Date
5/9/2024
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