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KROGER PHARMACY N-558
DSH360153 BELMONT COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
BELMONT COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360153
Entity Address
4697 HARRISON STREET
BELLAIRE, OH 43906
Medicare Provider Number
360153
Participating Start Date
4/1/2011
Last Recertification Date
8/22/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
KROGER PHARMACY N-558
Pharmacy Address
400 28TH STREET
BELLAIRE, OH 43906
Pharmacy Comments
Contract Details
Approval Date
3/8/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
James Murdy, CFO
(304) 243-3681
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
1/14/2013
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