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WHITE DRUG #52
CAH161361-00 Hamilton County Public Hospital d/b/a Van Diest Medical Center
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Covered Entity Details
Entity Name
Hamilton County Public Hospital d/b/a Van Diest Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161361-00
Entity Address
2350 Hospital Drive
Webster City, IA 50595
Medicare Provider Number
161361
Participating Start Date
4/1/2014
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
WHITE DRUG #52
Pharmacy Address
706 38TH ST N STE B
FARGO, ND 58102-2953
Pharmacy Comments
Contract Details
Approval Date
4/18/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/28/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Alice Heinrichs, CFO
(515) 832-7751
Contract Pharmacy Representative
Thrifty White
Zach Winter, Corporate Manager
(763) 248-7554
Signed By Date
4/18/2017
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