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THE MED STATION
CAH261325-00 Cox Barton County Hospital
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Covered Entity Details
Entity Name
Cox Barton County Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261325-00
Entity Address
29 NW 1st Lane
Lamar, MO 64759-8105
Medicare Provider Number
261325
Participating Start Date
4/1/2012
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
THE MED STATION
Pharmacy Address
54 B SE 1ST LANE
LAMAR, MO 64759
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Wendy Duvall, CEO
(417) 681-5105
Contract Pharmacy Representative
Ryan Smith, Owner
(417) 681-0999
Signed By Date
4/15/2013
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