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ASPIRUS KEWEENAW
CAH231318-00 ASPIRUS IRON RIVER HOSPITAL & CLINICS
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Covered Entity Details
Entity Name
ASPIRUS IRON RIVER HOSPITAL & CLINICS
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231318-00
Entity Address
1400 WEST ICE LAKE ROAD
IRON RIVER, MI 49935
Medicare Provider Number
231318
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
ASPIRUS KEWEENAW
Pharmacy Address
DBA ASPIRUS KEWEENAW PHARMACY
205 OSCEOLA ST
LAURIUM, MI 49913
Pharmacy Comments
Contract Details
Approval Date
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
GLENN E DOBSON, CFO
(906) 265-0436
Contract Pharmacy Representative
Aspirus
Jessica Bessner, Director of Pharmacy
(906) 337-6527
Signed By Date
10/14/2016
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