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LEWIS FAMILY DRUG #55
CAH161354-00 Ida County Iowa Community Hospital dba Horn Memorial Hospital
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Covered Entity Details
Entity Name
Ida County Iowa Community Hospital dba Horn Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161354-00
Entity Address
701 E 2nd St
Ida Grove, IA 51445
Medicare Provider Number
161354
Participating Start Date
4/1/2013
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
LEWIS FAMILY DRUG #55
Pharmacy Address
401 2ND ST
IDA GROVE, IA 51445-1302
Pharmacy Comments
Contract Details
Approval Date
3/7/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Marcia Fehring, Chief Financial Officer
(712) 364-7225
Contract Pharmacy Representative
Lewis Drug
Scott Cross, EVP
(605) 367-2800
Signed By Date
1/15/2013
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