340B Drug Pricing Program Database
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ACCREDO HEALTH GROUP, INC.
DSH360086 SPRINGFIELD REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
SPRINGFIELD REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360086
Entity Address
100 MEDICAL CENTER DRIVE
SPRINGFIELD, OH 45504-2687
Medicare Provider Number
360086
Participating Start Date
4/1/2016
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
4750 E 450 S
SUITE A
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jenelle Dee Zelinski, CFO-Springfield Region
(937) 523-5512
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
1/14/2022
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