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TRAV'S U-SAVE PHARMACY
CAH281328-00 MERRICK MEDICAL CENTER
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Covered Entity Details
Entity Name
MERRICK MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281328-00
Entity Address
2802 28th Street
CENTRAL CITY, NE 68826
Medicare Provider Number
281328
Participating Start Date
1/1/2014
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
TRAV'S U-SAVE PHARMACY
Pharmacy Address
1414 16TH ST
CENTRAL CITY, NE 68826
Pharmacy Comments
Contract Details
Approval Date
4/16/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Ownership change
Contacts
Covered Entity Signing Official
Amy Schroeder, CFO
(308) 946-3015
Contract Pharmacy Representative
Norman Balliet, Owner
(308) 946-3859
Signed By Date
4/16/2014
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