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KRHC FAMILY PHARMACY
CAH161353-00 Kossuth Regional Health Center
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Covered Entity Details
Entity Name
Kossuth Regional Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161353-00
Entity Address
1515 South Phillips Street
Algona, IA 50511
Medicare Provider Number
161353
Participating Start Date
10/1/2012
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
KRHC FAMILY PHARMACY
Pharmacy Address
OPERATED BY MERCY HEALTH INC
1519 S PHILLIPS ST
ALGONA, IA 50511-3649
Pharmacy Comments
Contract Details
Approval Date
11/5/2012
Contract Begin Date
11/5/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Scott Curtis, Administrator/CEO
(515) 295-4600
Contract Pharmacy Representative
Ron Koppen, Pharmacist
(515) 295-4567
Signed By Date
9/28/2012
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