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DAYTON OSTEOPATHIC HOSPITAL
DSH360132 Kettering Health Hamilton
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Covered Entity Details
Entity Name
Kettering Health Hamilton
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360132
Entity Address
630 Eaton Avenue
Hamilton, OH 45013
Medicare Provider Number
360132
Participating Start Date
1/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
DAYTON OSTEOPATHIC HOSPITAL
Pharmacy Address
D.B.A KETTERING HEALTH SPECIALTY PHARMAC
3700 SOUTHERN BLVD
SUITE 105
KETTERING, OH 45429
Pharmacy Comments
Contract Details
Approval Date
4/3/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William E Villegas, Regional VP of Finance
(937) 723-3414
Contract Pharmacy Representative
KHN
Kevin Blackburn, Pharmacy Director
(937) 458-4932
Signed By Date
4/3/2019
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