340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BIRDI, INC.
CAH171385-01 Coffey County Hospital
Print
Covered Entity Details
Entity Name
Coffey County Hospital
Subdivision Name
WAVERLY MEDICAL CLINIC - PRIMARY CARE
Type
Critical Access Hospital
340B ID
CAH171385-01
Entity Address
302 PEARSON
WAVERLY, KS 66781
Medicare Provider Number
171385
Outpatient Facility Provider Number
173983
Participating Start Date
4/1/2018
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
BIRDI, INC.
Pharmacy Address
7835 FREEDOM AVE NW
NORTH CANTON, OH 44720
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Samantha Jo Kuhlmann, Director of Informatics
(620) 364-2121 Ext: 4221
Contract Pharmacy Representative
BirdiRx
Sherry Yanez-Gregor, General Counsel
(855) 247-3479
Signed By Date
10/15/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session