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OPTUM INFUSION SERVICES 500, INC.
HM01655 UMass Memorial Healthcare
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Covered Entity Details
Entity Name
UMass Memorial Healthcare
Subdivision Name
NEW ENGLAND HEMOPHILIA CENTER AT UMASS MEMORIAL
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM01655
Entity Address
55 Lake Avenue
HI-759B
WORCESTER, MA 01655
Grant Number
H30MC24048
Participating Start Date
4/1/2009
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 500, INC.
Pharmacy Address
4900 RIVERGRADE RD STE E120
IRWINDALE, CA 91706-1419
Pharmacy Comments
Contract Details
Approval Date
3/4/2022
Contract Begin Date
3/7/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jack Bailey, Senior Vice President, Clinical Services
(774) 441-7843
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
3/4/2022
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