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COMMUNITY HOSPITAL OF LAGRANGE
DSH150091 HUNTINGTON MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
HUNTINGTON MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150091
Entity Address
2001 STULTS ROAD
HUNTINGTON, IN 46750
Medicare Provider Number
150091
Participating Start Date
7/1/2022
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
COMMUNITY HOSPITAL OF LAGRANGE
Pharmacy Address
PARKVIEW HEALTH
207 N TOWNLINE RD
LAGRANGE, IN 46761-1399
Pharmacy Comments
Contract Details
Approval Date
10/24/2012
Contract Begin Date
10/24/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2015
Contacts
Covered Entity Signing Official
Darlene Garrett, COO
(260) 355-3681
Contract Pharmacy Representative
Robert Myers, COO
(260) 463-9373
Signed By Date
9/7/2012
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