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BEMIS DRUG, INC
CAH281305-00 KIMBALL COUNTY HOSPITAL DBA KIMBALL HEALTH SERVICES
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Covered Entity Details
Entity Name
KIMBALL COUNTY HOSPITAL DBA KIMBALL HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281305-00
Entity Address
255 W 4th St
KIMBALL, NE 69145
Medicare Provider Number
281305
Participating Start Date
7/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
BEMIS DRUG, INC
Pharmacy Address
DBA BEMIS DRUG
129 S CHESTNUT
KIMBALL, NE 69145
Pharmacy Comments
Contract Details
Approval Date
9/19/2012
Contract Begin Date
9/19/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/17/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ken Hunter, CEO
(308) 235-1952 Ext: 268
Contract Pharmacy Representative
Michael Bemis, President
(308) 235-3936
Signed By Date
9/7/2012
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