340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM INFUSION SERVICES 404 LLC
DSH380047 St. Charles Health System, Inc., d/b/a St. Charles Bend
Print
Covered Entity Details
Entity Name
St. Charles Health System, Inc., d/b/a St. Charles Bend
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH380047
Entity Address
2500 NE NEFF ROAD
BEND, OR 97701
Medicare Provider Number
380047
Participating Start Date
7/1/2016
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 404 LLC
Pharmacy Address
2065 NE WILLIAMSON CT
STE B
BEND, OR 97701
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Rue Welander, Chief Financial Officer
(541) 706-7707
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/13/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session