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DSH140114S SWEDISH COVENANT HEALTH (Approved)
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Main Details
Name
SWEDISH COVENANT HEALTH
Subdivision Name
Swedish Hospital - Oncology and Specialty Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140114S
Medicare Provider Number
140114
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/4/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/22/2025
Last Recertification Date
Contacts
Authorizing Official
Swedish Covenant Health
Jonathan Lind, Chief Operating Officer
(773) 907-1028
Primary Contact
Swedish Covenant Health
Alicia Juska, Director Pharmacy
(773) 878-8200 Ext: 5379
Addresses
Street Address
3060 W Salt Creek Lane
1100
Arlington Heights, IL 60005
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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