340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
UCM SERVICES CORPORATION
DSH140191 INGALLS MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
INGALLS MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140191
Entity Address
ONE INGALLS DRIVE
HARVEY, IL 60426
Medicare Provider Number
140191
Participating Start Date
9/22/2005
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
UCM SERVICES CORPORATION
Pharmacy Address
DBA INGALLS PROFESSIONAL PHARMACY
71 W 156TH ST STE 104
INGALLS PROFESSIONAL
HARVEY, IL 60426
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jonathan Ray Goble, President
(708) 915-5500
Contract Pharmacy Representative
Ingalls
Jennifer Halsey, Director of Pharmacy Services
(708) 915-4406
Signed By Date
7/16/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session