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HY-VEE PHARMACY (1382)
CAH161368-00 FLOYD VALLEY HOSPITAL
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Covered Entity Details
Entity Name
FLOYD VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161368-00
Entity Address
714 LINCOLN ST NE
LE MARS, IA 51031-3314
Medicare Provider Number
161368
Participating Start Date
1/1/2011
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY (1382)
Pharmacy Address
1201 12TH AVE SW
LE MARS, IA 51031
Pharmacy Comments
Contract Details
Approval Date
11/10/2011
Contract Begin Date
11/10/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/30/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Daryl Friedenbach, CFO
(712) 546-3338
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
10/25/2011
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