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ACCREDO HEALTH GROUP, INC.
CAH381313-00 St. Charles Health System, Inc., d/b/a St. Charles Prineville
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Covered Entity Details
Entity Name
St. Charles Health System, Inc., d/b/a St. Charles Prineville
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381313-00
Entity Address
384 SE Combs Flat Road
Prineville, OR 97754
Medicare Provider Number
381313
Participating Start Date
7/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
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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