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MERCY HEALTH - ST ANNE HOSPITAL LLC DBA
DSH360112 MERCY HEALTH - ST. VINCENT MEDICAL CENTER
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Covered Entity Details
Entity Name
MERCY HEALTH - ST. VINCENT MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360112
Entity Address
2213 CHERRY STREET
TOLEDO, OH 43608
Medicare Provider Number
360112
Participating Start Date
1/1/2005
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
MERCY HEALTH - ST ANNE HOSPITAL LLC DBA
Pharmacy Address
DBA MERCY HEALTH PERRYSBURG OUTPATIENT P
12623 ECKEL JUNCTION RD
PERRYSBURG, OH 43551-1304
Pharmacy Comments
Contract Details
Approval Date
1/18/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/25/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer C Sinclair, Regional CFO
(419) 251-0755
Contract Pharmacy Representative
Mercy Health
Ginger Berrie, Director of Pharmacy
(419) 251-4507
Signed By Date
1/18/2019
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