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JEWISH HOSPITAL & ST. MARYS HEALTHCARE
DSH180040B UofL Health -- Louisville
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Covered Entity Details
Entity Name
UofL Health -- Louisville
Subdivision Name
MARY & ELIZABETH HOSPITAL
Type
Disproportionate Share Hospital
340B ID
DSH180040B
Entity Address
1850 BLUEGRASS AVE
LOUISVILLE, KY 40215
Medicare Provider Number
180040
Outpatient Facility Provider Number
Participating Start Date
7/1/2004
Last Recertification Date
9/13/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
JEWISH HOSPITAL & ST. MARYS HEALTHCARE
Pharmacy Address
DBA PHARMACY PLUS SPECIALTY
5111 COMMERCE CROSSINGS DRIVE
STE 120
LOUISVILLE, KY 40229
Pharmacy Comments
Contract Details
Approval Date
7/15/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/19/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Colleen Holton, Chief Financial Officer
(502) 587-4170
Contract Pharmacy Representative
Mark Milburn, VP
(502) 561-3900
Signed By Date
7/15/2014
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