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INSIGHT CHICAGO, INC
DSH230022 COMMUNITY HEALTH CENTER BRANCH CTY
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER BRANCH CTY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230022
Entity Address
274 EAST CHICAGO STREET
COLDWATER, MI 49036
Medicare Provider Number
230022
Participating Start Date
4/1/2018
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
INSIGHT CHICAGO, INC
Pharmacy Address
2525 S MICHIGAN AVE
CHICAGO, IL 60616-2315
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Charles Hughes, Chief Pharmacy Officer
(401) 249-1963
Contract Pharmacy Representative
Insight Hospital and Medical Center
Florence Osisanya, Director Of Pharmacy
(312) 567-2489
Signed By Date
1/15/2025
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