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KROGER PHARMACY #010
DSH450330A OAKBEND MEDICAL CENTER
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Covered Entity Details
Entity Name
OAKBEND MEDICAL CENTER
Subdivision Name
Metro Ortho and Spine Surgery Center of OakBend Health System
Type
Disproportionate Share Hospital
340B ID
DSH450330A
Entity Address
4219 Richmond Avenue
Suite 200
Houston, TX 77027
Medicare Provider Number
450330
Outpatient Facility Provider Number
Participating Start Date
7/1/2017
Last Recertification Date
8/23/2021
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
KROGER PHARMACY #010
Pharmacy Address
24401 BRAZOS TOWN CROSSING
ROSENBERG, TX 77471
Pharmacy Comments
Contract Details
Approval Date
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/11/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeffrey Hammel, CFO
(281) 341-4881
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/17/2017
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