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COORDINATED CARE NETWORK
CAH511319-00 JEFFERSON MEDICAL CENTER
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Covered Entity Details
Entity Name
JEFFERSON MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH511319-00
Entity Address
300 S. PRESTON STREET
RANSON, WV 25438-1631
Medicare Provider Number
511319
Participating Start Date
9/29/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
COORDINATED CARE NETWORK
Pharmacy Address
COORDINATED CARE NETWORK
300 PENN CENTER BLVD STE 405
PITTSBURGH, PA 15235-5511
Pharmacy Comments
5/9/11 UPDATED ADDR (WAS SUITE 505)
Contract Details
Approval Date
10/20/2011
Contract Begin Date
10/27/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/18/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/18/2010
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