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JONES MC CALL PHCY RD
SCH450489-01 Dawson County Hospital District dba Medical Arts Hospital
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Covered Entity Details
Entity Name
Dawson County Hospital District dba Medical Arts Hospital
Subdivision Name
Dawson County Hospital District dba Medical Arts Clinic
Type
Sole Community Hospital
340B ID
SCH450489-01
Entity Address
2202 N. Bryan
Lamesa, TX 79331
Medicare Provider Number
450489
Outpatient Facility Provider Number
453466
Participating Start Date
7/1/2013
Last Recertification Date
8/31/2020
Entity Termination Date
1/1/2021
Pharmacy Details
Pharmacy Name
JONES MC CALL PHCY RD
Pharmacy Address
JONES MCCALL
1605 N BRYAN AVE.
LAMESA, TX 79331
Pharmacy Comments
Contract Details
Approval Date
6/28/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Letha Hughes, CEO
(806) 872-5727 Ext: 2010
Contract Pharmacy Representative
Reinhard McKinney, Owner
(806) 872-5453
Signed By Date
6/28/2013
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