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SMITHS FOOD & DRUG CTRS
DSH460043 OREM COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
OREM COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH460043
Entity Address
331 NORTH 400 WEST
OREM, UT 84057
Medicare Provider Number
460043
Participating Start Date
3/15/2022
Last Recertification Date
9/6/2022
Entity Termination Date
7/1/2023
Pharmacy Details
Pharmacy Name
SMITHS FOOD & DRUG CTRS
Pharmacy Address
DBA SMITH'S FOOD & DRUG #136
350 NORTH FREEDOM BOULEVARD
PROVO, UT 84601
Pharmacy Comments
Contract Details
Approval Date
4/13/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/13/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Craig Mills, Chief Financial Officer
(801) 662-6277
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
4/13/2019
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