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KPH HEALTHCARE SERVICES, INC.
CAH331309-00 River Hospital, Inc.
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Covered Entity Details
Entity Name
River Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331309-00
Entity Address
4 Fuller Street
Alexandria Bay, NY 13607
Medicare Provider Number
331309
Participating Start Date
4/1/2014
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #106
471 EAST MAIN STREET SUITE 2
GOUVERNEUR, NY 13642
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Agreement registered in error
Contacts
Covered Entity Signing Official
Kelley M Tiernan, Chief Financial Officer
(315) 323-4970
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
10/15/2024
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