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BEMIS DRUG LLC
CAH281305-00 KIMBALL COUNTY HOSPITAL DBA KIMBALL HEALTH SERVICES
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Covered Entity Details
Entity Name
KIMBALL COUNTY HOSPITAL DBA KIMBALL HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281305-00
Entity Address
255 W 4th St
KIMBALL, NE 69145
Medicare Provider Number
281305
Participating Start Date
7/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
BEMIS DRUG LLC
Pharmacy Address
129 S CHESTNUT ST
KIMBALL, NE 69145
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ken Hunter, CEO
(308) 235-1952 Ext: 268
Contract Pharmacy Representative
Bemis
Grant Kinn, Owner
(720) 203-1113
Signed By Date
4/13/2018
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