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SABETHA FAMILY PHARMACY
CAH171338-00 Great Plains of Sabetha, Inc. dba Sabetha Community Hospital
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Covered Entity Details
Entity Name
Great Plains of Sabetha, Inc. dba Sabetha Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171338-00
Entity Address
603 S. 14th St.
Sabetha, KS 66534-0229
Medicare Provider Number
171338
Participating Start Date
10/1/2014
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
SABETHA FAMILY PHARMACY
Pharmacy Address
1118 MAIN ST
SABETHA, KS 66534-1833
Pharmacy Comments
Contract Details
Approval Date
7/2/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/9/2024
Ownership change
Contacts
Covered Entity Signing Official
Lora Key, CEO
(785) 284-2121 Ext: 1568
Contract Pharmacy Representative
Kaylene Heinen, Pharmacist
(785) 284-3432
Signed By Date
7/2/2015
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