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INGALLS HEALTH VENTURES
DSH140191 INGALLS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
INGALLS MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140191
Entity Address
ONE INGALLS DRIVE
HARVEY, IL 60426
Medicare Provider Number
140191
Participating Start Date
9/22/2005
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
INGALLS HEALTH VENTURES
Pharmacy Address
1551 HUNTINGTON DR STE A
CALUMET CITY, IL 60409
Pharmacy Comments
Contract Details
Approval Date
11/29/2021
Contract Begin Date
11/29/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sara Haggerty, Interim CFO CHHD
(708) 915-6110
Contract Pharmacy Representative
University of Chicago Medical Center
Denise Scarpelli, Executive Director Ambulatory Pharmacy
(773) 834-5601
Signed By Date
11/29/2021
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