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FRANCISCAN ALLIANCE, INC.
CAH151324-00 FRANCISCAN HEALTH RENSSELAER
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Covered Entity Details
Entity Name
FRANCISCAN HEALTH RENSSELAER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151324-00
Entity Address
1104 EAST GRACE STREET
RENSSELAER, IN 47978-3211
Medicare Provider Number
151324
Participating Start Date
9/15/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
FRANCISCAN ALLIANCE, INC.
Pharmacy Address
DBA FRANCISCAN HOME INFUSION PHARMACY LA
1501 HARTFORD ST RM G540
LAFAYETTE, IN 47904
Pharmacy Comments
Contract Details
Approval Date
1/16/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jason Geddes, Regional CFO
(765) 502-4599
Contract Pharmacy Representative
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Signed By Date
1/16/2023
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