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CRESCENT HEALTHCARE, INC.
DSH050013 St. Helena Hospital, DBA Adventist Health St. Helena
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Covered Entity Details
Entity Name
St. Helena Hospital, DBA Adventist Health St. Helena
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050013
Entity Address
10 WOODLAND ROAD
ST. HELENA, CA 94574
Medicare Provider Number
050013
Participating Start Date
4/1/2010
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
CRESCENT HEALTHCARE, INC.
Pharmacy Address
25901 INDUSTRIAL BLVD BLDG E
HAYWARD, CA 94545-2995
Pharmacy Comments
Contract Details
Approval Date
1/25/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/4/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brandon Parker, CFO
(707) 462-3111 Ext: 1600
Contract Pharmacy Representative
Option Care
Jon Adair, Vice President, Health System Solutions
(847) 830-9996
Signed By Date
1/25/2016
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