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ASCENSION RX 1205
DSH440151 Saint Thomas River Park Hospital, LLC d/b/a Ascension Saint Thomas River Park
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Covered Entity Details
Entity Name
Saint Thomas River Park Hospital, LLC d/b/a Ascension Saint Thomas River Park
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440151
Entity Address
1559 SPARTA ROAD
MCMINNVILLE, TN 37110
Medicare Provider Number
440151
Participating Start Date
4/1/2017
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
ASCENSION RX 1205
Pharmacy Address
140 VO TECH DR STE 2
MCMINNVILLE, TN 37110
Pharmacy Comments
Contract Details
Approval Date
7/8/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa R. Davis, TN Ministry Market CFO Saint Thomas
(615) 284-6845
Contract Pharmacy Representative
Ascension Health
Jared Hendrix, Pharmacy Manager
(931) 815-4376
Signed By Date
7/8/2021
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