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HY-VEE PHARMACY (1095)
CAH161310-00 ADAIR COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
ADAIR COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161310-00
Entity Address
609 SE KENT STREET
GREENFIELD, IA 50849-9494
Medicare Provider Number
161310
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY (1095)
Pharmacy Address
600 SHELDON
CRESTON, IA 50801
Pharmacy Comments
Contract Details
Approval Date
2/19/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kevin Heinzeroth, CFO
(641) 743-7238
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
1/14/2013
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