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JEWISH HOSPITAL & ST. MARYS HEALTHCARE
DSH180141A UNIVERSITY OF LOUISVILLE HOSPITAL
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Covered Entity Details
Entity Name
UNIVERSITY OF LOUISVILLE HOSPITAL
Subdivision Name
BROWN CANCER CENTER
Type
Disproportionate Share Hospital
340B ID
DSH180141A
Entity Address
529 SOUTH JACKSON STREET
LOUISVILLE, KY 40202
Medicare Provider Number
180141
Outpatient Facility Provider Number
Participating Start Date
7/1/1998
Last Recertification Date
8/18/2016
Entity Termination Date
10/1/2016
Pharmacy Details
Pharmacy Name
JEWISH HOSPITAL & ST. MARYS HEALTHCARE
Pharmacy Address
DBA PHARMACY PLUS SPECIALTY
5111 COMMERCE CROSSINGS DRIVE
STE 120
LOUISVILLE, KY 40229
Pharmacy Comments
Contract Details
Approval Date
7/11/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Contacts
Covered Entity Signing Official
Ken Marshall, President
(502) 562-6508
Contract Pharmacy Representative
Mark Milburn, VP
(502) 561-3900
Signed By Date
7/11/2014
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