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OPTUM FRONTIER THERAPIES II, LLC
DSH500053 KENNEWICK GENERAL HOSPITAL
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Covered Entity Details
Entity Name
KENNEWICK GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH500053
Entity Address
900 S AUBURN STREET
KENNEWICK, WA 99336
Medicare Provider Number
500053
Participating Start Date
10/1/2004
Last Recertification Date
12/6/2017
Entity Termination Date
10/1/2018
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES II, LLC
Pharmacy Address
6425 SANTA MARGARITA ST UNIT 110
LAS VEGAS, NV 89118-1913
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tony Sudduth, CFO
(509) 221-5349
Contract Pharmacy Representative
Briova Rx
Joe Iovino, Manager
(412) 445-4495
Signed By Date
1/15/2018
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