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SWEDISH COVENANT HEALTH
DSH140114 SWEDISH COVENANT HEALTH
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Covered Entity Details
Entity Name
SWEDISH COVENANT HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140114
Entity Address
5145 N CALIFORNIA
CHICAGO, IL 60625
Medicare Provider Number
140114
Participating Start Date
7/1/2004
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
SWEDISH COVENANT HEALTH
Pharmacy Address
DBA FOSTER MEDICAL PAVILION PHARMACY
5215 N CALIFORNIA AVE STE F103
CHICAGO, IL 60625
Pharmacy Comments
Contract Details
Approval Date
7/11/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/16/2023
Ownership change
Contacts
Covered Entity Signing Official
Mark Newton, President
(773) 878-8200 Ext: 1000
Contract Pharmacy Representative
Changwoo Lee, Pharmacy Manager
(773) 989-6280
Signed By Date
7/11/2013
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