340B Drug Pricing Program Database


DSH050305F Sutter Bay Hospitals, dba Alta Bates Summit Medical Center (Active) - information as of 5/20/2025 11:41:54 PM

Main Details
Sutter Bay Hospitals, dba Alta Bates Summit Medical Center
Alta Bates Summit Outpatient Physical, Sports and Hand Therapy
Disproportionate Share Hospital
No
DSH050305F
050305


Additional Details
Active
1/12/2016
4/1/2016
2/12/2016
8/26/2024

Contacts

Alta Bates Summit Medical Center
Ameet Nanda, Chief Operating Officer
(415) 600-1458

Sutter Health
Rachel L Dunbar, 340B Analyst
(916) 952-3480

Addresses

5700 Telegraph Avenue
Suite 200
Oakland, CA 94609

Sutter Shared Services
P.O. Box 619110
Accounts Payable
Roseville, CA 95661


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
CA 1639523004,1447604814,1326554239
AL 1639523004,1447604814
AK 1639523004,1447604814
AZ 1639523004,1447604814
CT 1639523004,1447604814
DE 1639523004,1447604814
DC 1639523004,1447604814
FL 1639523004,1447604814
GA 1639523004,1447604814
HI 1639523004,1447604814
KS 1639523004,1447604814
ME 1639523004,1447604814
MD 1639523004,1447604814
MA 1639523004,1447604814
MI 1639523004,1447604814
MO 1639523004,1447604814
MT 1639523004,1447604814
NE 1639523004,1447604814
NV 1639523004,1447604814
NH 1639523004,1447604814
NJ 1639523004,1447604814
NM 1639523004,1447604814
OH 1639523004,1447604814
OK 1639523004,1447604814
PA 1639523004,1447604814
RI 1639523004,1447604814
SC 1639523004,1447604814
SD 1639523004,1447604814
TX 1639523004,1447604814
VT 1639523004,1447604814
WA 1639523004,1447604814
WY 1639523004,1447604814
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH050305AChildDSHALTA BATES SUMMIT MED - HERRICK (ABSM-H)HERRICK CAMPUS 2001 DWIGHT WAYBERKELEYCATerminated
DSH050305BChildDSHALTA BATES SUMMIT MED - HERRICK (ABSM-H)COMPREHENSIVE CANCER CENTER 2001 DWIGHT WAYBERKELEYCATerminated
DSH050305CChildDSHSutter Bay Hospitals, dba Alta Bates Summit Medical CenterABSMC Comprehensive Cancer Center2001 Dwight WayBerkeleyCAActive
DSH050305DChildDSHSutter Bay Hospitals, dba Alta Bates Summit Medical CenterABSMC Comprehensive Cancer Center2001 Dwight WayBerkeleyCAActive
DSH050305EChildDSHSutter Bay Hospitals, dba Alta Bates Summit Medical CenterABSMC Comprehensive Cancer Center2001 Dwight WayBerkeleyCAActive
DSH050305FChildDSHSutter Bay Hospitals, dba Alta Bates Summit Medical CenterAlta Bates Summit Outpatient Physical, Sports and Hand Therapy5700 Telegraph AvenueOaklandCAActive
DSH050305GChildDSHSutter Bay Hospitals, dba Alta Bates Summit Medical CenterDisabled Community Health and Spasticity Clinic2001 Dwight WayBerkeleyCAActive
DSH050305HChildDSHSutter Bay Hospitals, dba Alta Bates Summit Medical CenterHerrick Psych- Electroconvulsive Therapy2001 Dwight WayBerkeleyCAActive
DSH050305JChildDSHSutter Bay Hospitals, dba Alta Bates Summit Medical CenterDiagnostic Imaging5730 Telegraph AvenueOaklandCAActive
DSH050305KChildDSHSutter Bay Hospitals, dba Alta Bates Summit Medical CenterOutpatient Rehabilitation Services - Outpatient Rehabilitation2001 Dwight WayBerkeleyCAActive
DSH050305LChildDSHSutter Bay Hospitals, dba Alta Bates Summit Medical CenterPARTIAL HOSPITALIZATION PROGRAM - PARTIAL HOSPITALIZATION PROGRAM2001 Dwight WayBerkeleyCAActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateGroup Change RequestMcLaughlin, Claudine Eva 340B Analyst Sutter Health 5108698299Dunbar, Rachel L 340B Analyst Sutter Health 91695234804/21/2025 6:42 PM
DetailsLast Recertification DateUpdateRecertification8/23/2023 11:05:29 AM8/26/2024 4:06:29 PM8/26/2024 4:06 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request AL1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request AL1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request AK1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request AK1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request AZ1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request AZ1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request CT1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request CT1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request DE1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request DE1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request DC1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request DC1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request FL1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request FL1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request GA1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request GA1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request HI1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request HI1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request KS1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request KS1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request ME1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request ME1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MD1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MD1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MA1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MA1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MI1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MI1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MO1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MO1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MT1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request MT1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NE1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NE1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NV1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NV1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NH1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NH1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NJ1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NJ1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NM1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request NM1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request OH1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request OH1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request OK1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request OK1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request PA1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request PA1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request RI1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request RI1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request SC1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request SC1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request SD1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request SD1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request TX1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request TX1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request VT1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request VT1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request WA1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request WA1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16395230041/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request WY1/17/2024 12:23 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 14476048141/17/2024 12:23 PM
Medicaid BillingNPI: StateInsertGroup Change Request WY1/17/2024 12:23 PM
ContactsAuthorizing OfficialUpdateChange RequestWohn, Iris CFO Alta Bates Summit Medical Center 5108698620Nanda, Ameet Chief Operating Officer Alta Bates Summit Medical Center 415600145810/17/2023 7:27 AM
DetailsLast Recertification DateUpdateRecertification9/8/2022 1:28:00 PM8/23/2023 11:05:29 AM8/23/2023 11:05 AM
ContactsPrimary ContactUpdateGroup Change RequestMcLaughlin, Claudine 340B Coordinator Sutter Health 5108698299McLaughlin, Claudine Eva 340B Analyst Sutter Health 510869829912/21/2022 7:51 AM
ContactsAuthorizing OfficialUpdateChange RequestClark, David Dorius Area CEO Alta Bates Summit Medical Center 5108696703Wohn, Iris CFO Alta Bates Summit Medical Center 510869862011/9/2022 12:54 PM
DetailsLast Recertification DateUpdateRecertification8/24/2021 6:36:26 PM9/8/2022 1:28:00 PM9/8/2022 1:28 PM
ContactsAuthorizing OfficialUpdateAO Change RequestWohn, Iris Dolores Alta Bates Summit Medical Center CFO Alta Bates Summit Medical Center 5108698620Clark, David Dorius Area CEO Alta Bates Summit Medical Center 51086967039/2/2022 8:10 AM
DetailsLast Recertification DateUpdateRecertification9/2/2020 5:35:10 PM8/24/2021 6:36:26 PM8/24/2021 6:36 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestWohn, Iris Dolores Interim CFO Alta Bates Summit Medical Center 5106554000-8445Wohn, Iris Dolores Alta Bates Summit Medical Center CFO Alta Bates Summit Medical Center 51086986207/28/2021 8:39 AM
Medicaid BillingNPI: NumberInsertRecertification 16395230049/2/2020 5:35 PM
Medicaid BillingNPI: StateInsertRecertification CA9/2/2020 5:35 PM
Medicaid BillingNPI: NumberInsertRecertification 14476048149/2/2020 5:35 PM
Medicaid BillingNPI: StateInsertRecertification CA9/2/2020 5:35 PM
Medicaid BillingNPI: NumberInsertRecertification 13265542399/2/2020 5:35 PM
Medicaid BillingNPI: StateInsertRecertification CA9/2/2020 5:35 PM
Medicaid BillingNPI: NumberDeleteRecertification1013906221 ( ) 9/2/2020 5:35 PM
DetailsLast Recertification DateUpdateRecertification8/26/2019 6:50:37 PM9/2/2020 5:35:10 PM9/2/2020 5:35 PM
ContactsAuthorizing OfficialUpdateChange RequestPilgrim, Patti CFO Sutter Health 5108698620Wohn, Iris Dolores Interim CFO Alta Bates Summit Medical Center 5106554000-84458/10/2020 7:12 AM
DetailsLast Recertification DateUpdateRecertification8/28/2018 3:43:08 PM8/26/2019 6:50:37 PM8/26/2019 6:50 PM
AddressesBilling AddressInsertChange Request Sutter Shared Services P.O. Box 619110 Accounts Payable Roseville, CA 956616/14/2019 7:31 AM
AddressesMain AddressUpdateChange Request 5700 Telegraph Avenue Oakland, CA 94609 5700 Telegraph Avenue Suite 200 Oakland, CA 946096/14/2019 7:31 AM
DetailsEntity SubnameUpdateChange RequestAlta Bates Summit Outpatient Hand ClinicAlta Bates Summit Outpatient Physical, Sports and Hand Therapy6/14/2019 7:31 AM
DetailsLast Recertification DateUpdateRecertification11/17/2017 2:19:55 PM8/28/2018 3:43:08 PM8/28/2018 3:43 PM
ContactsPrimary ContactUpdateChange RequestReiter, Mary Asst. Director Pharmacy-Outpatient Sutter Health 5108698489McLaughlin, Claudine 340B Coordinator Sutter Health 51086982997/19/2018 3:26 PM
DetailsEntity NameUpdateChange RequestSutter East Bay Hospitals, dba Alta Bates Summit Medical CenterSutter Bay Hospitals, dba Alta Bates Summit Medical Center3/13/2018 4:39 PM
ContactsAuthorizing OfficialUpdateChange RequestGATES, JOHN CFO Sutter Health 4156003932Pilgrim, Patti CFO Sutter Health 51086986203/7/2018 4:29 PM
DetailsEntity NameUpdateRecertificationALTA BATES MEDICAL CENTERSutter East Bay Hospitals, dba Alta Bates Summit Medical Center11/17/2017 2:25 PM
DetailsLast Recertification DateUpdateRecertification8/30/2016 12:00:00 AM11/17/2017 2:19:55 PM11/17/2017 2:19 PM
ContactsAuthorizing OfficialUpdate GATES, JOHN CFO 4156003932GATES, JOHN CFO Sutter Health 415600393211/17/2017 1:11 PM
ContactsSigned ByUpdate GATES, JOHN CFO 4156003932GATES, JOHN CFO Sutter Health 415600393211/17/2017 1:11 PM
ContactsPrimary ContactUpdate Reiter, Mary Asst. Director Pharmacy-Outpatient 5108698489Reiter, Mary Asst. Director Pharmacy-Outpatient Sutter Health 510869848911/9/2017 5:28 PM
ContactsAuthorizing OfficialInsert  GATES, JOHN CFO 41560039322/21/2017 2:34 PM
ContactsSigned ByInsert  GATES, JOHN CFO 41560039322/21/2017 2:34 PM
ContactsPrimary ContactInsert  Reiter, Mary Asst. Director Pharmacy-Outpatient 51086984892/15/2017 2:16 PM
AddressesMain AddressInsert   5700 Telegraph Avenue Oakland, CA 946098/30/2016 5:09 PM
DetailsLast Recertification DateUpdate  8/30/2016 12:00:00 AM8/30/2016 5:09 PM
DatesParticipating Approval DateUpdate  2/12/2016 12:00:00 AM2/12/2016 10:22 AM
DetailsStateUpdate PendingActive2/12/2016 10:22 AM
DatesStart DateUpdate  4/1/2016 12:00:00 AM2/12/2016 10:22 AM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_57186DSH050305F1/15/2016 8:52 AM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_571861/12/2016 11:59 AM
Medicaid BillingNPI: NumberInsert  10139062211/12/2016 11:59 AM
DetailsLast Recertification DateInsert   1/12/2016 11:59 AM
DetailsGrant NumberInsert   1/12/2016 11:59 AM
Details340B IDInsert   1/12/2016 11:59 AM
DetailsIs Authorizing Official EHB DataInsert   1/12/2016 11:59 AM
DatesLast Date That 340B Drugs PurchasedInsert   1/12/2016 11:59 AM
DetailsMedicare Provider NumberInsert  0503051/12/2016 11:59 AM
DetailsEntity NameInsert  ALTA BATES MEDICAL CENTER1/12/2016 11:59 AM
DetailsProgram CodeInsert  DSH1/12/2016 11:59 AM
DetailsEntity SubnameInsert  Alta Bates Summit Outpatient Hand Clinic1/12/2016 11:59 AM
DatesParticipating Approval DateInsert   1/12/2016 11:59 AM
DetailsStateInsert  Pending1/12/2016 11:59 AM
DatesRegistration DateInsert  1/12/2016 12:00:00 AM1/12/2016 11:59 AM
DatesSigned By DateInsert  1/12/2016 12:00:00 AM1/12/2016 11:59 AM
DatesStart DateInsert   1/12/2016 11:59 AM
TerminationsTermination CommentsInsert   1/12/2016 11:59 AM
TerminationsTermination DateInsert   1/12/2016 11:59 AM
TerminationsTermination Effective DateInsert   1/12/2016 11:59 AM
TerminationsTermination ReasonInsert   1/12/2016 11:59 AM