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UNIVERSITY HOSPITALS HOME CARE SERVICES,
CAH361308-00 UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
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Covered Entity Details
Entity Name
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361308-00
Entity Address
158 WEST MAIN RD
CONNEAUT, OH 44030-2039
Medicare Provider Number
361308
Participating Start Date
4/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
UNIVERSITY HOSPITALS HOME CARE SERVICES,
Pharmacy Address
D.B.A UNIVERSITY HOSPITALS HOME DELIVERY
24865B EMERY RD
WARRENSVILLE HEIGHTS, OH 44128
Pharmacy Comments
Contract Details
Approval Date
10/7/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael R. Vehovec, Corporate Controller
(216) 767-8729
Contract Pharmacy Representative
University Hospitals
Kevin Cunningham, Dir of Pharmacy
(216) 765-2785
Signed By Date
10/7/2019
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