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BAYCARE HOME CARE INC
DSH100127 MORTON PLANT HOSPITAL
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Covered Entity Details
Entity Name
MORTON PLANT HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100127
Entity Address
300 PINELLAS ST
CLEARWATER, FL 33756-3804
Medicare Provider Number
100127
Participating Start Date
10/1/2020
Last Recertification Date
9/6/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
BAYCARE HOME CARE INC
Pharmacy Address
8452 118TH AVE N
LARGO, FL 33773-5007
Pharmacy Comments
Contract Details
Approval Date
7/9/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2015
Contacts
Covered Entity Signing Official
Carl Tremonti, Chief Financial Officer
(813) 870-4020
Contract Pharmacy Representative
Iqbal Burney, Director of Pharmacy
(727) 394-6577
Signed By Date
7/9/2015
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