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TENNESSEE DEPT OF CORRECTION CENTRAL PHA
DSH440111 METRO NASHVILLE GENERAL HOSPITAL
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Covered Entity Details
Entity Name
METRO NASHVILLE GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440111
Entity Address
1818 ALBION STREET
NASHVILLE, TN 37208
Medicare Provider Number
440111
Participating Start Date
10/1/2001
Last Recertification Date
9/10/2024
Pharmacy Details
Pharmacy Name
TENNESSEE DEPT OF CORRECTION CENTRAL PHA
Pharmacy Address
7575 COCKRILL BEND BLVD
BLDG 12A
NASHVILLE, TN 37209-1056
Pharmacy Comments
Contract Details
Approval Date
3/31/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/11/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Quan Poole, Assistant Attorney Metropolitan Government
(615) 341-4492
Contract Pharmacy Representative
Verneka Murphy, Pharmacist in Charge
(886) 342-9869
Signed By Date
3/31/2016
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