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ASCENSION VIA CHRISTI HOME MEDICAL WICHI
DSH170122 Ascension Via Christi Hospitals Wichita, Inc
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Covered Entity Details
Entity Name
Ascension Via Christi Hospitals Wichita, Inc
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH170122
Entity Address
929 N. St. Francis
Wichita, KS 67214
Medicare Provider Number
170122
Participating Start Date
1/1/2012
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
ASCENSION VIA CHRISTI HOME MEDICAL WICHI
Pharmacy Address
528 N SAINT FRANCIS ST
WICHITA, KS 67214-3808
Pharmacy Comments
Contract Details
Approval Date
10/5/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jim C Garrelts, Vice President, Pharmacy
(316) 268-5580
Contract Pharmacy Representative
Ascension Via Christi Home Medical Wichita, LLC
Brett Unruh, Pharmacy Manager
(316) 858-2100
Signed By Date
10/5/2022
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