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HARNESS HEALTH PHARMACY
DSH360089 MERCY HEALTH-TIFFIN HOSPITAL LLC
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Covered Entity Details
Entity Name
MERCY HEALTH-TIFFIN HOSPITAL LLC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360089
Entity Address
45 ST LAWRENCE DRIVE
TIFFIN, OH 44883
Medicare Provider Number
360089
Participating Start Date
10/1/2023
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
HARNESS HEALTH PHARMACY
Pharmacy Address
7160 INDUSTRIAL ROW DR STE 331
MASON, OH 45040
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/7/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
WENDY VOGEL, Hospital CFO II
(419) 964-5631
Contract Pharmacy Representative
Bon Secours Mercy Health
Behlan Ersoy, System Director Specialty Pharmacy
(513) 557-7661
Signed By Date
1/13/2020
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