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WINSHIP AT EMORY MIDTOWN HOME HEALTH PHA
DSH110076 DEKALB MEDICAL CENTER, INC - DBA EMORY DECATUR HOSPITAL
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Covered Entity Details
Entity Name
DEKALB MEDICAL CENTER, INC - DBA EMORY DECATUR HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110076
Entity Address
2701 NORTH DECATUR ROAD
DECATUR, GA 30033
Medicare Provider Number
110076
Participating Start Date
4/1/2002
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
WINSHIP AT EMORY MIDTOWN HOME HEALTH PHA
Pharmacy Address
550 PEACHTREE ST NE
STE 06.5P30
ATLANTA, GA 30308
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Urbistondo, Vice President & CFO
(404) 501-5025
Contract Pharmacy Representative
Emory Healthcare
Ryan Haumschild, VP, Ambulatory Pharmacy Ops
(404) 778-2542
Signed By Date
1/14/2025
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