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OPTUM FRONTIER THERAPIES II, LLC
DSH050334 SALINAS VALLEY HEALTH MEDICAL CENTER
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Covered Entity Details
Entity Name
SALINAS VALLEY HEALTH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050334
Entity Address
450 EAST ROMIE LANE
SALINAS, CA 93901
Medicare Provider Number
050334
Participating Start Date
10/1/2009
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES II, LLC
Pharmacy Address
6425 SANTA MARGARITA ST UNIT 120
LAS VEGAS, NV 89118
Pharmacy Comments
Contract Details
Approval Date
9/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/15/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Pete Delgado, CEO
(831) 755-0741
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
9/14/2023
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