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MAHASKA DRUG
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
MAHASKA DRUG
Pharmacy Address
205 N E ST.
OSKALOOSA, IA 52577-2016
Pharmacy Comments
Contract Details
Approval Date
4/7/2017
Contract Begin Date
7/1/2017
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
Jay Christensen, Chief Executive Officer
(641) 672-3392
Contract Pharmacy Representative
Mahaska Drug
John Nicholson, Owner
(641) 673-3439
Signed By Date
4/7/2017
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