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OPTUM FRONTIER THERAPIES II, LLC
CAH231328-00 Ascension Borgess Allegan Hospital
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Covered Entity Details
Entity Name
Ascension Borgess Allegan Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH231328-00
Entity Address
555 LINN STREET
ALLEGAN, MI 49010
Medicare Provider Number
231328
Participating Start Date
9/2/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES II, LLC
Pharmacy Address
6425 SANTA MARGARITA ST UNIT 110
LAS VEGAS, NV 89118-1913
Pharmacy Comments
Contract Details
Approval Date
9/3/2020
Contract Begin Date
9/3/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/13/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dorotha Hoffman, Interim Administrator
(269) 686-4162
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
9/3/2020
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