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ACCREDO HEALTH GROUP, INC.
SCH460026-00 IHC HEALTH SERVICES, INC. DBA: Intermountain Health SEVIER VALLEY HOSPITAL
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Covered Entity Details
Entity Name
IHC HEALTH SERVICES, INC. DBA: Intermountain Health SEVIER VALLEY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH460026-00
Entity Address
1000 NORTH MAIN ST
RICHFIELD, UT 84701
Medicare Provider Number
460026
Participating Start Date
7/1/2019
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/23/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CHRIS THOMPSON, C.F.O
(435) 893-0535
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/11/2019
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