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IDA DRUG
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
IDA DRUG
Pharmacy Address
VOGT PHARMACIES INC
506 2ND ST
PO BOX 9
IDA GROVE, IA 51445
Pharmacy Comments
Contract Details
Approval Date
1/8/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/17/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
Marcia Fehring, Chief Financial Officer
(712) 364-7225
Contract Pharmacy Representative
Josh Borer, Owner
(712) 364-0000
Signed By Date
1/8/2014
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