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PRESENCE CENTRAL AND SUBURBAN HOSPITALS
DSH140217 PRESENCE SAINT JOSEPH HOSPITAL ELGIN
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Covered Entity Details
Entity Name
PRESENCE SAINT JOSEPH HOSPITAL ELGIN
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140217
Entity Address
77 NORTH AIRLITE ST.
ELGIN, IL 60123
Medicare Provider Number
140217
Participating Start Date
4/1/2021
Last Recertification Date
8/16/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
PRESENCE CENTRAL AND SUBURBAN HOSPITALS
Pharmacy Address
DBA ASCENSION RX 7010
77 N AIRLITE ST
ELGIN, IL 60123
Pharmacy Comments
Contract Details
Approval Date
10/7/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kevin Larkin, CFO
(847) 888-3696
Contract Pharmacy Representative
Ascension
Andrius Cepenas, System Director Ambulatory Care and Retail Pharmacy Services
(773) 368-5340
Signed By Date
10/7/2022
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