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FLORIDA HEALTH CARE PLAN, INC.
SCH100090-00 FLAGLER HOSPITAL
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Covered Entity Details
Entity Name
FLAGLER HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH100090-00
Entity Address
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Medicare Provider Number
100090
Participating Start Date
7/1/2018
Last Recertification Date
9/23/2019
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
FLORIDA HEALTH CARE PLAN, INC.
Pharmacy Address
D/B/A FLORIDA HEALTH CARE PLANS
200 SOUTHPARK BLVD STE 206
ST AUGUSTINE, FL 32086-3129
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Murray Sherwood Marsh, Jr., Chief Financial Officer
(904) 819-4400
Contract Pharmacy Representative
Florida Health Care Plans
David Fox, Clinical Pharmacy Director
(386) 615-4016
Signed By Date
10/15/2019
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