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COMMUNITY HOSPITAL NORTH SPECIALTY PHARM
DSH150007 COMMUNITY HOWARD REGIONAL HEALTH
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Covered Entity Details
Entity Name
COMMUNITY HOWARD REGIONAL HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150007
Entity Address
3500 SOUTH LAFOUNTAIN
KOKOMO, IN 46902
Medicare Provider Number
150007
Participating Start Date
1/1/2016
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
COMMUNITY HOSPITAL NORTH SPECIALTY PHARM
Pharmacy Address
DBA COMMUNITY HEALTH NETWORK SPECIALTY P
7250 CLEARVISTA DR STE 140
INDIANAPOLIS, IN 46256
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joseph Hooper, President & CEO
(765) 776-8580
Contract Pharmacy Representative
CHN Specialty Pharmacy
Zachary L Roberts, Executive Director
(317) 621-3100
Signed By Date
1/15/2019
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