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HY-VEE PHARMACY (1505)
CAH161367-00 PELLA REGIONAL HEALTH CENTER
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Covered Entity Details
Entity Name
PELLA REGIONAL HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161367-00
Entity Address
404 JEFFERSON ST.
PELLA, IA 50219
Medicare Provider Number
161367
Participating Start Date
1/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY (1505)
Pharmacy Address
2453 N COURT
OTTUMWA, IA 52501
Pharmacy Comments
Contract Details
Approval Date
7/3/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/20/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Anthony Linkmeyer, Chief Ancillary Services Officer
(641) 621-2480
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
7/3/2016
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