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NOBLE HEALTH SERVICES INC.
CAH331304-00 MARGARETVILLE HOSPITAL
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Covered Entity Details
Entity Name
MARGARETVILLE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH331304-00
Entity Address
ROUTE 28
42084 STATE HIGHWAY
MARGARETVILLE, NY 12455
Medicare Provider Number
331304
Participating Start Date
4/1/2016
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
NOBLE HEALTH SERVICES INC.
Pharmacy Address
6040 TARBELL ROAD
SYRACUSE, NY 13206
Pharmacy Comments
Contract Details
Approval Date
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patricia Gavis, Chief Financial Officer
(845) 943-6024
Contract Pharmacy Representative
Debbi Barber, Director of PBM Relations
(315) 287-3600 Ext: 2423
Signed By Date
10/14/2016
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