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OPTION CARE ENTERPRISES, INC.
DSH050225 Adventist Health Feather River
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Covered Entity Details
Entity Name
Adventist Health Feather River
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050225
Entity Address
5974 PENTZ ROAD
PARADISE, CA 95969
Medicare Provider Number
050225
Participating Start Date
10/1/2010
Last Recertification Date
8/30/2018
Entity Termination Date
7/1/2019
Pharmacy Details
Pharmacy Name
OPTION CARE ENTERPRISES, INC.
Pharmacy Address
OPTION CARE
132 MISSION RANCH BLVD.
CHICO, CA 95926-2186
Pharmacy Comments
Contract Details
Approval Date
1/14/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Gary J. Kemske, CFO
(530) 876-7200
Contract Pharmacy Representative
Option Care
Jon Adair, Vice President, Health System Solutions
(847) 830-9996
Signed By Date
1/14/2016
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