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DAYTON OSTEOPATHIC HOSPITAL
DSH360133 Kettering Health Dayton
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Covered Entity Details
Entity Name
Kettering Health Dayton
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360133
Entity Address
405 W. Grand Avenue
Dayton, OH 45405
Medicare Provider Number
360133
Participating Start Date
7/1/2013
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
DAYTON OSTEOPATHIC HOSPITAL
Pharmacy Address
D.B.A KETTERING HEALTH SPECIALTY PHARMAC
3700 SOUTHERN BLVD
SUITE 105
KETTERING, OH 45429
Pharmacy Comments
Contract Details
Approval Date
1/6/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/27/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Luis Chanaga, Vice President for Finance/Operations & CFO
(937) 723-3414
Contract Pharmacy Representative
KHN
Kevin Blackburn, Pharmacy Director
(937) 458-4932
Signed By Date
1/6/2017
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