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ACCREDO HEALTH GROUP, INC.
DSH010129 GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY
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Covered Entity Details
Entity Name
GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010129
Entity Address
1815 HAND AVE.
BAY MINETTE, AL 36507
Medicare Provider Number
010129
Participating Start Date
7/1/2005
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
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
Kenny H Breal, President
(251) 648-7673
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
4/14/2025
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