340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HY-VEE CLINIC PHARMACY #1036
SCH260006-00 HEARTLAND REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
HEARTLAND REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH260006-00
Entity Address
5325 FARAON
ST. JOSEPH, MO 64506-3398
Medicare Provider Number
260006
Participating Start Date
10/1/2020
Last Recertification Date
8/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
HY-VEE CLINIC PHARMACY #1036
Pharmacy Address
710 W MAIN
PRINCETON, MO 64673
Pharmacy Comments
Pharmacy at 1104 South 25th Street Bethany MO has the same name.
Contract Details
Approval Date
8/22/2011
Contract Begin Date
8/22/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Doug Brandt, Asst Treasurer
(816) 271-7070
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
8/12/2011
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