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HARNESS HEALTH PHARMACY
DSH360081 MERCY HEALTH - ST. CHARLES HOSPITAL
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Covered Entity Details
Entity Name
MERCY HEALTH - ST. CHARLES HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360081
Entity Address
2600 NAVARRE AVENUE
OREGON, OH 43616
Medicare Provider Number
360081
Participating Start Date
10/1/2015
Last Recertification Date
9/9/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
HARNESS HEALTH PHARMACY
Pharmacy Address
7160 INDUSTRIAL ROW DR STE 331
MASON, OH 45040
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Michael Whipple, Hospital CFO
(419) 251-6935
Contract Pharmacy Representative
Bon Secours Mercy Health
Behlan Ersoy, System Director Specialty Pharmacy
(513) 557-7661
Signed By Date
1/10/2020
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