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KPH HEALTHCARE SERVICES, INC.
SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
RUTLAND REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH470005-00
Entity Address
160 ALLEN STREET
RUTLAND, VT 05701
Medicare Provider Number
470005
Participating Start Date
9/30/2010
Last Recertification Date
8/24/2015
Entity Termination Date
7/1/2016
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #98
34 ROUTE 30 NORTH
BOMOSEEN, VT 05732
Pharmacy Comments
12/11/2012 address line 1 update (was ROUTE 30)
Contract Details
Approval Date
9/12/2012
Contract Begin Date
9/12/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
EDWARD OGORZALEK, CFO
(802) 747-1610
Contract Pharmacy Representative
Kinney Drugs
Debbi Barber, Director of Pharmacy Programs
(315) 287-3600 Ext: 2423
Signed By Date
9/1/2012
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