340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

OPTUM PHARMACY 701, LLC
CAH161377-00 MercyOne Centerville Medical Center

Covered Entity Details

Critical Access Hospital
CAH161377-00
ONE ST. JOSEPH'S DRIVE
CENTERVILLE, IA 52544
161377
7/1/2011
8/13/2024


Pharmacy Details

1830 S HORNE
MESA, AZ 85204

Contract Details

7/11/2024
10/1/2024


Contacts


Nicole Clapp, President
(641) 437-3410



Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
7/11/2024