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CRITICAL CARE SYSTEMS, INC.
DSH030023 FLAGSTAFF MEDICAL CENTER
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Covered Entity Details
Entity Name
FLAGSTAFF MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH030023
Entity Address
1200 NORTH BEAVER
FLAGSTAFF, AZ 86001
Medicare Provider Number
030023
Participating Start Date
7/1/2009
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
CRITICAL CARE SYSTEMS, INC.
Pharmacy Address
OPTION CARE
7850 S. HARDY DRIVE
SUITE 105
TEMPE, AZ 85284
Pharmacy Comments
Contract Details
Approval Date
4/26/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Hope Wade, Interim CFO
(928) 773-2129
Contract Pharmacy Representative
Becky Richardson, PIC
(480) 897-2927
Signed By Date
4/26/2016
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