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ACCREDO HEALTH GROUP INC
SCH380040-00 St. Charles Health System, Inc., d/b/a St. Charles Redmond
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Covered Entity Details
Entity Name
St. Charles Health System, Inc., d/b/a St. Charles Redmond
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH380040-00
Entity Address
1253 NW Canal Blvd
Redmond, OR 97756
Medicare Provider Number
380040
Participating Start Date
7/1/2012
Last Recertification Date
9/9/2020
Entity Termination Date
10/1/2021
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
201 GREAT CIRCLE ROAD
NASHVILLE, TN 37228
Pharmacy Comments
Contract Details
Approval Date
10/13/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/18/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer Rue Welander, Chief Financial Officer
(541) 706-7707
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
10/13/2016
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