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CHI HEALTH IMMANUEL
DSH280081 CHI Health Immanuel
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Covered Entity Details
Entity Name
CHI Health Immanuel
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH280081
Entity Address
6901 N. 72ND ST
OMAHA, NE 68122
Medicare Provider Number
280081
Participating Start Date
4/1/2005
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CHI HEALTH IMMANUEL
Pharmacy Address
PHARMACY
6901 NORTH 72ND ST
OMAHA, NE 68122
Pharmacy Comments
Contract Details
Approval Date
4/3/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/11/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
TIM SCHNACK, CFO
(402) 572-3701
Contract Pharmacy Representative
CHI Health Immanuel
Greg Breiling, OD-Pharmacy Services
(402) 572-3026
Signed By Date
4/3/2017
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