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FOSTORIA COMMUNITY HOSPITAL
CAH361318-00 Fostoria Community Hospital
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Covered Entity Details
Entity Name
Fostoria Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361318-00
Entity Address
501 Van Buren Street
Fostoria, OH 44830
Medicare Provider Number
361318
Participating Start Date
7/1/2013
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
FOSTORIA COMMUNITY HOSPITAL
Pharmacy Address
RETAIL PHARMACY
501 VAN BUREN ST
SUITE 101
FOSTORIA, OH 44830-1534
Pharmacy Comments
Contract Details
Approval Date
4/4/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/10/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ken Swint, CFO
(419) 436-6648
Contract Pharmacy Representative
Dave Schiefer, Pharmacy Manager
(419) 435-6560
Signed By Date
4/4/2014
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