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HY-VEE PHARMACY (1481)
CAH161379-00 Mahaska County Hospital d/b/a Mahaska Health Partnership
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Covered Entity Details
Entity Name
Mahaska County Hospital d/b/a Mahaska Health Partnership
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161379-00
Entity Address
1229 C Avenue East
Oskaloosa, IA 52577
Medicare Provider Number
161379
Participating Start Date
7/1/2012
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
HY-VEE PHARMACY (1481)
Pharmacy Address
110 S "D" STREET
OSKALOOSA, IA 52577
Pharmacy Comments
Contract Details
Approval Date
3/13/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/20/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jon P. Davis, Chief Financial Officer
(641) 672-3131
Contract Pharmacy Representative
Hy- Vee
BOB EGELAND, VP PHARMACY OPERATIONS
(515) 267-2800
Signed By Date
1/29/2013
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