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ACCREDO HEALTH GROUP INC
DSH260001 Mercy Hospital Joplin
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Covered Entity Details
Entity Name
Mercy Hospital Joplin
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260001
Entity Address
100 Mercy Way
JOPLIN, MO 64804
Medicare Provider Number
260001
Participating Start Date
4/1/2005
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
2040 W RIO SALADO PKWY STE 101B
TEMPE, AZ 85281-2010
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mathew Janssens, Chief Financial Officer
(417) 556-2459
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
4/14/2025
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