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PRESENCE CHICAGO HOSPITALS NETWORK
DSH140155 Presence St. Mary's Hospital
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Covered Entity Details
Entity Name
Presence St. Mary's Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140155
Entity Address
500 West Court Street
Kankakee, IL 60901
Medicare Provider Number
140155
Participating Start Date
10/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
PRESENCE CHICAGO HOSPITALS NETWORK
Pharmacy Address
DBA AMITA HEALTH HOME INFUSION PHARMACY
7435 W TALCOTT AVE STE T1289
CHICAGO, IL 60631
Pharmacy Comments
Contract Details
Approval Date
1/11/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Yuesha Chen, Regional Chief Financial Officer
(815) 741-7667
Contract Pharmacy Representative
Amita Health
Laura Ozelie, Pharmacy Director, Home Infusion
(219) 765-4450
Signed By Date
1/11/2022
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