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OPTUM FRONTIER THERAPIES II, LLC
DSH450039 Tarrant County Hospital District d/b/a JPS Health Network
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Covered Entity Details
Entity Name
Tarrant County Hospital District d/b/a JPS Health Network
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450039
Entity Address
1500 S Main Street
FORT WORTH, TX 76104
Medicare Provider Number
450039
Participating Start Date
8/1/1993
Last Recertification Date
8/15/2024
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
10/6/2020
Contract Begin Date
10/27/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/3/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Karen Scott Duncan, President, CEO JPS Health Network
(817) 702-2318
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/6/2020
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