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AVELLA OF DEER VALLEY
DSH260032 BARNES-JEWISH HOSPITAL
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Covered Entity Details
Entity Name
BARNES-JEWISH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260032
Entity Address
One Barnes-Jewish Hospital Plaza
St. Louis, MO 63110
Medicare Provider Number
260032
Participating Start Date
7/1/2004
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
AVELLA OF DEER VALLEY
Pharmacy Address
23620 N 20TH DR #12
PHOENIX, AZ 85085-0621
Pharmacy Comments
Contract Details
Approval Date
1/20/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/22/2020
Ownership change
Contacts
Covered Entity Signing Official
Robert Cannon, President
(314) 286-2118
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Senior Vice President, Strategic Services
(651) 983-0677
Signed By Date
1/20/2015
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