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MERCY HEALTH SERVICES, LLC
DSH260065C MERCY HOSPITAL SPRINGFIELD
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Covered Entity Details
Entity Name
MERCY HOSPITAL SPRINGFIELD
Subdivision Name
Mercy Oncology Infusion Center-Springfield
Type
Disproportionate Share Hospital
340B ID
DSH260065C
Entity Address
2055 S Fremont Ave
1000A
SPRINGFIELD, MO 65804-2263
Medicare Provider Number
260065
Outpatient Facility Provider Number
Participating Start Date
10/1/2006
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
MERCY HEALTH SERVICES, LLC
Pharmacy Address
D/B/A MERCY SPECIALTY PHARMACY ST. LOUIS
607 S. NEW BALLAS RD.
SUITE 1415
SAINT LOUIS, MO 63141
Pharmacy Comments
Contract Details
Approval Date
7/14/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/21/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Scott R Reynolds, CFO-Central Community
(417) 820-2818
Contract Pharmacy Representative
Mercy
Mark J Jaeger, VP-Ambulatory & Specialty Pharmacy
(314) 628-5607
Signed By Date
7/14/2017
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