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HY-VEE PHARMACY
CAH161336-00 Hegg Memorial Hospital
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Covered Entity Details
Entity Name
Hegg Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161336-00
Entity Address
1202 21st Ave
Rock Valley, IA 51247
Medicare Provider Number
161336
Participating Start Date
10/1/2011
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY
Pharmacy Address
1951 S MAIN
SIOUX CENTER, IA 51250
Pharmacy Comments
Contract Details
Approval Date
11/7/2011
Contract Begin Date
11/7/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/28/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Glenn Zevenbergen, CEO
(712) 476-8009
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
10/25/2011
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