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ACCREDO HEALTH GROUP, INC.
DSH360064 MERCY HEALTH - ST. ELIZABETH YOUNGSTOWN HOSPITAL
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Covered Entity Details
Entity Name
MERCY HEALTH - ST. ELIZABETH YOUNGSTOWN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360064
Entity Address
1044 BELMONT AVENUE
YOUNGSTOWN, OH 44504-1006
Medicare Provider Number
360064
Participating Start Date
1/1/2023
Last Recertification Date
8/27/2024
Entity Termination Date
7/1/2025
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
11/2/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Michelle L Crawford, Market CFO Youngstown
(330) 718-8096
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/14/2022
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