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COMMUNITY HOSPITAL OF ANACONDA PHARMACY
CAH271335-00 Community Hospital of Anaconda
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Covered Entity Details
Entity Name
Community Hospital of Anaconda
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH271335-00
Entity Address
401 West Pennsylvania Street
Anaconda, MT 59711
Medicare Provider Number
271335
Participating Start Date
1/1/2013
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
COMMUNITY HOSPITAL OF ANACONDA PHARMACY
Pharmacy Address
401 W PENNSYLVANIA AVE
ANACONDA, MT 59711-1931
Pharmacy Comments
Contract Details
Approval Date
7/13/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/26/2022
CE terminated due to audit finding
Contacts
Covered Entity Signing Official
Amy Edwards Webb, Vice President Clinical Services
(406) 563-9036
Contract Pharmacy Representative
Ty Tyvand, Pharmacy Director
(406) 563-8500
Signed By Date
7/13/2013
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