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MERCY HOSPITAL & MEDICAL CENTER
DSH140158 Insight Hospital and Medical Center Chicago
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Covered Entity Details
Entity Name
Insight Hospital and Medical Center Chicago
Subdivision Name
MAIN SITE
Type
Disproportionate Share Hospital
340B ID
DSH140158
Entity Address
2525 S. MICHIGAN AVENUE
CHICAGO, IL 60616
Medicare Provider Number
140158
Participating Start Date
7/1/2004
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
MERCY HOSPITAL & MEDICAL CENTER
Pharmacy Address
DEPARTMENT OF PHARMACY SERVICES
2525 S. MICHIGAN AVENUE
CHICAGO, IL 60616-2477
Pharmacy Comments
Contract Details
Approval Date
8/1/2005
Contract Begin Date
8/1/2005
Carve-In Effective Date
Contract Comments
4/23/08 ADMIN CORRECTION 340B ID # CHANGED (WAS DSH60616)
Contract Termination Date
Termination Reason
10/15/2015
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/27/2005
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