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ACCREDO HEALTH GROUP, INC.
DSH050305 Sutter Bay Hospitals, dba Alta Bates Summit Medical Center
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Covered Entity Details
Entity Name
Sutter Bay Hospitals, dba Alta Bates Summit Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050305
Entity Address
2450 ASHBY AVENUE
BERKELEY, CA 94705
Medicare Provider Number
050305
Participating Start Date
7/1/2006
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
7/25/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Iris Dolores Wohn, Alta Bates Summit Medical Center CFO
(510) 869-8620
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/15/2022
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