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FULTON COUNTY MEDICAL CENTER
CAH391303-00 FULTON COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
FULTON COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH391303-00
Entity Address
214 PEACH ORCHARD ROAD
MCCONNELLSBURG, PA 17233
Medicare Provider Number
391303
Participating Start Date
4/1/2015
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
FULTON COUNTY MEDICAL CENTER
Pharmacy Address
PHARMACY
214 PEACH ORCHARD RD
MC CONNELLSBURG, PA 17233
Pharmacy Comments
Contract Details
Approval Date
7/10/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/25/2021
CE terminated due to audit finding
Contacts
Covered Entity Signing Official
Deborah A Shughart, CFO
(717) 485-6109
Contract Pharmacy Representative
Fulton County Medical Center
Dan Iseminger, Director of Pharmacy
(717) 485-6113 Ext: 0
Signed By Date
7/10/2015
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