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GENOA HEALTHCARE LLC
DSH440084 SWEETWATER HOSPITAL ASSOCIATION
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Covered Entity Details
Entity Name
SWEETWATER HOSPITAL ASSOCIATION
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440084
Entity Address
304 WRIGHT STREET
SWEETWATER, TN 37874
Medicare Provider Number
440084
Participating Start Date
7/1/2023
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
1805 INGLESIDE AVE
PO BOX 1108
ATHENS, TN 37303
Pharmacy Comments
Contract Details
Approval Date
10/9/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/12/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ashley Gail Shamblin, Chief Financial Officer
(865) 213-8582
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/9/2023
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