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OPTION CARE INFUSION SERVICES, LLC
RRC440073-00 Maury Regional Hospital
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Covered Entity Details
Entity Name
Maury Regional Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC440073-00
Entity Address
1224 Trotwood Ave
Columbia, TN 38401
Medicare Provider Number
440073
Participating Start Date
7/1/2013
Last Recertification Date
8/31/2021
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
OPTION CARE INFUSION SERVICES, LLC
Pharmacy Address
VANDERBILT HC/OPTION CARE IV SERVICES
624 GRASSMERE PARK DR.
SUITE 22
NASHVILLE, TN 37211-3671
Pharmacy Comments
Contract Details
Approval Date
10/20/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah Lumpkins, Sr. VP/CNO
(931) 490-7118
Contract Pharmacy Representative
Option Care
Derek Bilyk, Program Manager, Healthy Systems
(224) 813-1283
Signed By Date
10/20/2016
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