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CURANT HEALTH GEORGIA LLC
CAH451324-00 LILLIAN M. HUDSPETH MEMORIAL HOSP.
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Covered Entity Details
Entity Name
LILLIAN M. HUDSPETH MEMORIAL HOSP.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451324-00
Entity Address
308 HUDSPETH AVE.
SONORA, TX 76950
Medicare Provider Number
451324
Participating Start Date
7/1/2019
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
CURANT HEALTH GEORGIA LLC
Pharmacy Address
CURANT HEALTH
200 TECHNOLOGY CT SE BLDG 200
SUITE B
SMYRNA, GA 30082-5250
Pharmacy Comments
12/21/2012 address update (was 1270 WINCHESTER PKWY, STE 100 30080)
Contract Details
Approval Date
4/7/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/14/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ROBERT A. PASCASIO, CEO
(325) 387-2521
Contract Pharmacy Representative
Curant Health
Patrick Dunham, President & CEO
(866) 437-8040 Ext: 232
Signed By Date
4/7/2014
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