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HY-VEE PHARMACY
CAH161376-00 CASS COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CASS COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161376-00
Entity Address
1501 EAST 10TH STREET
ATLANTIC, IA 50022
Medicare Provider Number
161376
Participating Start Date
7/1/2011
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY
Pharmacy Address
HY-VEE, INC.
1630 E 7TH STREET
ATLANTIC, IA 50022
Pharmacy Comments
Contract Details
Approval Date
10/5/2012
Contract Begin Date
10/5/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/28/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
STEVE STARK, Assistant Administrator/CIO
(712) 243-3250
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
9/14/2012
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