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OPTUM FRONTIER THERAPIES II, LLC
DSH260005AM SSM ST. JOSEPH HEALTH CENTER
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Covered Entity Details
Entity Name
SSM ST. JOSEPH HEALTH CENTER
Subdivision Name
SCCMG SJMOB GYN/Onc Ste 201
Type
Disproportionate Share Hospital
340B ID
DSH260005AM
Entity Address
330 First Capitol Drive
Suite 201
St. Charles, MO 63301
Medicare Provider Number
260005
Outpatient Facility Provider Number
260005
Participating Start Date
10/1/2015
Last Recertification Date
8/22/2019
Entity Termination Date
12/18/2019
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES II, LLC
Pharmacy Address
6425 SANTA MARGARITA ST UNIT 110
LAS VEGAS, NV 89118-1913
Pharmacy Comments
Contract Details
Approval Date
7/10/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/11/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Karen D. Rewerts, Regional VP of Financa/CFO
(314) 989-2034
Contract Pharmacy Representative
Briova Rx
Joe Iovino, Manager
(412) 445-4495
Signed By Date
7/10/2018
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