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CLEVELAND CLINIC HOME CARE SERVICES
DSH360027 AKRON GENERAL MEDICAL CENTER
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Covered Entity Details
Entity Name
AKRON GENERAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360027
Entity Address
1 AKRON GENERAL AVE
AKRON, OH 44307
Medicare Provider Number
360027
Participating Start Date
7/1/2021
Last Recertification Date
8/22/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
CLEVELAND CLINIC HOME CARE SERVICES
Pharmacy Address
CLEVELAND CLINIC HOME CARE SERVICES
6801 BRECKSVILLE RD STE 10
INDEPENDENCE, OH 44131
Pharmacy Comments
Contract Details
Approval Date
6/2/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brian Harte, President
(330) 344-6548
Contract Pharmacy Representative
Cleveland Clinic
Donald Carroll, Associate Chief Pharmacy Officer
(216) 374-3584
Signed By Date
4/14/2021
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