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Trinity Health Pharmacy Services, LLC
DSH140158 Insight Hospital and Medical Center Chicago
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Covered Entity Details
Entity Name
Insight Hospital and Medical Center Chicago
Subdivision Name
MAIN SITE
Type
Disproportionate Share Hospital
340B ID
DSH140158
Entity Address
2525 S. MICHIGAN AVENUE
CHICAGO, IL 60616
Medicare Provider Number
140158
Participating Start Date
7/1/2004
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
Trinity Health Pharmacy Services, LLC
Pharmacy Address
12279 Bluffton Road
Fort Waye, IN 46809
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
6/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Silia Miglio, VP of Finance
(312) 567-2580
Contract Pharmacy Representative
Trinity Health
Bob Ripley, VP Pharmacy
(734) 343-1365
Signed By Date
10/15/2019
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