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SILVER SPRING PHARMACY
CAH061306-00 LINCOLN COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
LINCOLN COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH061306-00
Entity Address
111 6TH STREET
HUGO, CO 80821
Medicare Provider Number
061306
Participating Start Date
4/1/2018
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
SILVER SPRING PHARMACY
Pharmacy Address
333 M AVE STE 200
LIMON, CO 80828-2239
Pharmacy Comments
Contract Details
Approval Date
4/4/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kevin M. Stansbury, CEO
(719) 743-2421
Contract Pharmacy Representative
Susan Ferree, POC
(719) 775-0400
Signed By Date
4/4/2016
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