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WHITING FAMILY PHARMACY
CAH161359-00 BURGESS HEALTH CENTER
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Covered Entity Details
Entity Name
BURGESS HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161359-00
Entity Address
1600 DIAMOND STREET
ONAWA, IA 51040
Medicare Provider Number
161359
Participating Start Date
9/2/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WHITING FAMILY PHARMACY
Pharmacy Address
723 WHITTIER ST
WHITING, IA 51063
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
4/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/18/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Burgess Health Center
Lori Jensen, 340b Coordinator
(712) 423-9256
Signed By Date
3/17/2011
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