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UNIVERSITY HOSPITALS
CAH361307-00 UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER
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Covered Entity Details
Entity Name
UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH361307-00
Entity Address
870 WEST MAIN STREET
GENEVA, OH 44041-1219
Medicare Provider Number
361307
Participating Start Date
4/1/2011
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
UNIVERSITY HOSPITALS
Pharmacy Address
HOME CARE SERVICES INC
4510 RICHMOND ROAD
WARRENSVILLE HEIGHTS, OH 44128
Pharmacy Comments
Contract Details
Approval Date
4/10/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael R. Vehovec, Corporate Controller
(216) 767-8729
Contract Pharmacy Representative
University Hospitals
Kevin Cunningham, Dir of Pharmacy
(216) 765-2785
Signed By Date
4/10/2017
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