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GREENVILLE HEALTH CORPORATION
DSH420106 PH BAPTIST PARKRIDGE HOSPITAL
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Covered Entity Details
Entity Name
PH BAPTIST PARKRIDGE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH420106
Entity Address
400 PALMETTO HEALTH PARKWAY
COLUMBIA, SC 29212
Medicare Provider Number
420106
Participating Start Date
7/1/2024
Last Recertification Date
8/22/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
GREENVILLE HEALTH CORPORATION
Pharmacy Address
D/B/A PRISMA HEALTH PHARMACY 10
14 RICHLAND MEDICAL PARK DR
STE 210
COLUMBIA, SC 29203-6877
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Michael Bundy, Chief Executive Officer
(803) 296-5782
Contract Pharmacy Representative
Prisma Health
Steve Ranck, Director, Pharmacy Services - GHC
(864) 455-1325
Signed By Date
10/15/2024
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