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NORTHBAY SPECIALTY PHARMACY
DSH050367 NorthBay Healthcare Group
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Covered Entity Details
Entity Name
NorthBay Healthcare Group
Subdivision Name
NORTH BAY MEDICAL CENTER
Type
Disproportionate Share Hospital
340B ID
DSH050367
Entity Address
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Medicare Provider Number
050367
Participating Start Date
7/1/2005
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
NORTHBAY SPECIALTY PHARMACY
Pharmacy Address
1020 NUT TREE RD
VACAVILLE, CA 95687-4100
Pharmacy Comments
Contract Details
Approval Date
4/14/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
ART DENIO, CFO
(707) 646-3111
Contract Pharmacy Representative
NorthBay Healthcare Group
RYAN SEO, DIRECTOR OF PHARMACY
(707) 646-4290
Signed By Date
4/14/2017
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