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PRICE CHOPPER PHARMACY #560
SCH260006-00 HEARTLAND REGIONAL MEDICAL CENTER
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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
PRICE CHOPPER PHARMACY #560
Pharmacy Address
2600 ENSIGN HILL DRIVE
BOX #2
PLATTE CITY, MO 64079
Pharmacy Comments
Contract Details
Approval Date
1/5/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
John P. Wilson, Chief Financial Officer
(816) 271-6611
Contract Pharmacy Representative
Rick Carter, PIC
(816) 431-2751
Signed By Date
1/5/2015
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