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IOWA SPECIALTY PHARMACY
CAH161301-00 BELMOND COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
BELMOND COMMUNITY HOSPITAL
Subdivision Name
DBA IOWA SPECIALTY HOSPITAL - BELMOND
Type
Critical Access Hospital
340B ID
CAH161301-00
Entity Address
403 1ST STREET SE
BELMOND, IA 50421
Medicare Provider Number
161301
Participating Start Date
9/27/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
IOWA SPECIALTY PHARMACY
Pharmacy Address
215 13TH AVE SW
CLARION, IA 50525
Pharmacy Comments
Contract Details
Approval Date
11/20/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Greg Polzin, CFO
(641) 444-5623
Contract Pharmacy Representative
Iowa Specialty Hospital - Clarion
Christopher Medvec, Pharmacy Director
(641) 444-5660
Signed By Date
10/5/2012
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