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SUMMA'S HOME INFUSION
DSH360020 SUMMA HEALTH SYSTEM
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Covered Entity Details
Entity Name
SUMMA HEALTH SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH360020
Entity Address
525 E. MARKET STREET
AKRON, OH 44309
Medicare Provider Number
360020
Participating Start Date
10/1/2017
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
SUMMA'S HOME INFUSION
Pharmacy Address
2743 GILCHRIST RD
SUITE 200
AKRON, OH 44305-4413
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas Clifford Deveny, President and CEO
(234) 312-5050
Contract Pharmacy Representative
Summa Home Infusion
Xiaoying Kong, Pharmacist In Charge
(330) 376-1325 Ext: 19918
Signed By Date
10/16/2017
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