Common use of NOTIFICATIONS AND SUBMISSION OF REPORTS Clause in Contracts

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx Xxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

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NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity HealthProviders: Xxxxxxxx XxxxxxxxxXxxx Xxxxxxx 0000-X Xxxxxxxxx Xxxxx Hanover, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx Xxxxxxxx, XX 00000 MD 21076 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Email: xxxxxxxx@xxxxxx-xxxxxxxxxxxxxxx.xxx xxxxxxxx@xxxxxxxxxxxxxxxxxxxxxxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health a Provider may be required to provide OIG with an electronic copy of each Alliance/Active/Xxxxx/Xxxx/Xxxxxx Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 The Friendship Entities: Xxxxxxxxx Xxxxxx Xxxx Compliance Officer 000 Xxxx Xxxx Xxxxxxxxx Xxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health the Friendship Entities may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 2 contracts

Samples: Corporate Integrity Agreement, Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 Community Health Systems, Inc. Corporate Integrity Agreement 000 Xxxxxxxxxxxx Xxxxxx, X.X. WashingtonXxxxxxxxxx, DC 20201 XX 00000 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity HealthCHSI: Xxxxxx X. Xxxxxxxx XxxxxxxxxVice President, MBACorporate Compliance and Privacy Officer Community Health Systems, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx Inc. 0000 Xxxxxxxx Xxxxxxxxx Xxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 615.465.3004 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health CHSI may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 2 contracts

Samples: Corporate Integrity Agreement (Quorum Health Corp), Corporate Integrity Agreement (Community Health Systems Inc)

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Xxxxxxx’x Compliance Contact: Xxxx Xxxxxxx Xxxxxxx Physical and Aquatic Therapy 000 Xxxxx Xxxx Xxxx Xxx Xxxxxxxx, Xxxxxxxxxxx 000000 Telephone: (000) 000-0000 Facsimile: (000) 000 0000 Email: X.xxxxxxx@xxxxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA may IA shall be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Xxxxxxx may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA IA in searchable portable document format (pdf), either instead of or in addition to to, a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: OIG:‌‌‌‌‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Practitioner: Xxxxx Xxxxxxxx, M.D. Bellamah Vein Center, PLLC 0000 Xxxxxxxxx Xxxx, Xxxxx 000 Xxxxxxxx, XX 00000 Phone: 000.000.0000 Fax: 000.000.0000 xxxxxxxxx@xxxxxxxxxx.xxx Counsel for Practitioner: Xxxx X. Xxxxx Xxxx Xxxxx & Xxxx, PLC 0000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxx 000 Xxxxxxxxxx, X.X. 00000 Telephone: 000-000-0000 Fax: 000-000-0000 xxxxxx@xxxxxxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Practitioner may be required to provide OIG with an electronic additional copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA IA in searchable portable document OIG’s requested format (pdfelectronic or paper), in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General‌ U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Skyline:‌ Xxxxxx Xxxxxxxxx, M.D., Managing Partner Skyline Urology 00000 Xxxx Xxxxxx, Xxxxx 000 Torrance, CA 90505 Xxxxxxx Xxxxx X.X., Compliance Officer Skyline Urology 0000 Xxxxxxxxx Xxxxxxxxx Xxxxxxx Oaks, CA 91411 Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Skyline may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), IA in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: HHS-OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 202.205.0604 OPM-OIG: Debarring Official Office of Inspector General U.S. Office of Personnel Management 0000 X Xxxxxx XX, Xxxx 0000 Xxxxxxxxxx, XX 00000-0000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Medco: Xxx Xxxxxx Medco Health Solutions 000 Xxxxxxx Xxxx Drive mail stop X0-XX0 Xxxxxxxx Xxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal Medco CIA facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in In addition to a paper copysending notifications and correspondence to the Medco contact specified above, the OIG will endeavor to also provide copies of all notifications and correspondence to Medco’s General Counsel at the address specified above.

Appears in 1 contract

Samples: Corporate Integrity Agreement (Medco Health Solutions Inc)

NOTIFICATIONS AND SUBMISSION OF REPORTS. ‌‌‌ Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 202.205.0604 SMMC:‌ Xxxxxxxx Xxxx, Esq, CHC Privacy and Compliance Officer San Mateo Medical Center 000 X. 00xx Xxxxxx Xxxxxx Xxxxx Xxx Xxxxx XX 00000 Telephone: 000.000.0000 Email: xxxxx@xxxxxx.xxx Xxxxxxx Xxxxxxxxxxx, MD Chief Executive Officer-SMMC San Mateo Medical Center, 2nd Floor 000 X. 00xx Xxxxxx, Xxx Xxxxx XX 00000 xxxxxxxxxxxx@xxxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health SMMC may be required to provide OIG with an electronic additional copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document OIG’s requested format (pdfelectronic or paper), in addition to a paper copy.. San Mateo Medical Center Corporate Integrity Agreement

Appears in 1 contract

Samples: Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 TRANS-STAR: Xxxxxxx Xxxxx Xxxxxxxx Enterprises, Inc. d/b/a Trans-Star Ambulance Service 000 Xxxxx Xxxx Xxxxx Xxxxxxxxxxxx, Xxxxxxxx 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: Xxxxxx@xxxxxxxxxxxxxxxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA may shall be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Trans-Star may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), either instead of or in addition to to, a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General‌ U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. WashingtonXX Xxxxxxxxxx, DC 20201 XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx (000) 000-0000 Xxxxxxx X. Xxxxxx, 0xx xxxxx M.D.: Xxxxxxx X. Xxxxxx, M.D.‌‌ 0 Xxxxxxxxx Xxxx, Xxxxxxxx, XX 00000 Telephone: 000.000.0000 000-000-0000 Facsimile: 818.409.5266 803-626-0700 Xxxxxxxx X. Xxxxxx:‌‌‌ Xxxxxxxx X. Xxxxxx 0 Xxxxxxxxx Xxxx, Xxxxxxxx, XX 00000 Telephone: 000-000-0000 Facsimile: 803-626-0700 Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Xxxxxx may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf)IA, in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 SNAP Diagnostics, LLC and Xxx Xxxxx Corporate Integrity Agreement Telephone: 000.000.0000 Facsimile(000) 000-0000 SNAP: 202.205.0604 Dignity Health: Xxxxxxxx XxxxxxxxxXxx Xxxxx SNAP Diagnostics LLC 0000 Xxxxxxx Xxxxx Wheeling, MBAIL 60090 xxx@xxxxxxxxxxxxxxx.xxx (000) 000-0000 xxx.000 Xxx Xxxxxxx SNAP Diagnostics LLC 0000 Xxxxxxx Xxxxx Wheeling, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx Xxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 IL 60090 xxxxxxxx@xxxxxxxxxxxxxxx.xxx (000) 000-0000 xxx.000 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health SNAP may be required to provide OIG with an electronic additional copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document OIG’s requested format (pdfelectronic or paper), in addition to a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Cxxxx Building, Room 5527 000 300 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 King: Fxxxxxxxx Xxxxxxxxxxx, Xx. Kxxx Pharmaceuticals, Inc. Corporate Compliance Officer 500 Xxxxx Xxxxxx Xxxxxxx, XX 00000 Corporate Integrity Agreement King Pharmaceuticals, Inc. Telephone: (000) 000-0000 Facsimile: (000) 000-0000 with a copy to: General Counsel King Pharmaceuticals, Inc. 500 Xxxxx Xxxxxx Xxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement (King Pharmaceuticals Inc)

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Gardi: Xxxxxxx Xxxxx 00000 Xxxxx Xxxxxx Xxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxx000@xxxxx.xxx and Xxxxx X. Xxxxx Xxxxx Xxxxx Heuer & Xxxxx, P.C. 00000 Xxxxxxxx Xx., Suite 2500 Southfield, MI 00000-0000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxx@xxxxxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Gardi may be required to provide OIG with an electronic additional copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA IA in searchable portable document OIG’s requested format (pdfelectronic or paper), in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General‌ U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Dr. Uradu and UTC:‌‌ Xxxxxxxx Xxxxx BA, MSc Compliance Officer 0000 Xxxxxxxxxx Xxx, Xxxxxxx XX 00000 Telephone: (000) 000-0000 EXT. 234 Facsimile: (000) 000-0000 e-mail address: xxxxxxxx.xxxxxxxxxxxxxxxxxxxxxxx@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Dr. Uradu and UTC may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf)IA, in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 202.205.0604 Spectranetics: Xxxxxxx X. Xxxxxxx Chief Compliance Officer Vice President, Global Regulatory Affairs Spectranetics Corporation 0000 Xxxxxxx Xxxxx Xxxxxxxx Xxxxxxx, XX 00000 Email: xxxxxxx.xxxxxxx@xxxx.xxx Phone: 000.000.0000 Fax: 000.000.0000 Spectranetics Corporate Integrity Agreement Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Spectranetics may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), either instead of or in addition to to, a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement (Spectranetics Corp)

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General‌ U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Hanflink:‌‌‌‌ Xx. Xxxxxx Xxxxxxxx 0000 X. Xxxxxxx 00X Xx. Xxxx, Florida 32757 (352) 357-0668 xxxxxxxxx@xxxxx.xxx And a copy of any and all notices and correspondence to: Xxxxxxx X. Xxxxxxxxx, Esquire‌‌ Pietragallo Xxxxxx Xxxxxx Xxxxxx & Xxxxxxxx, LLP 0000 Xxxxxx Xxxxxx, Xxxxx 0000‌ Xxxxxxxxxxxx, XX 00000 xxx@xxxxxxxxxxx.xxx (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Hanflink may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf)IA, in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General‌ U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Pentec Health: Xxxxxxxx Xxxxxxxxx, MBAInc. Corporate Integrity Agreement Pentec:‌ Xxxxx X. Xxxxxxxx, MHA, CHC, CHPC Dignity Health 000 CCEP VP of Corporate Compliance and Internal Audit 00 Xxxxxxx Xxxx Xxxx., Xxxxx 000, Xxxx Xxxxxx, 0xx xxxxx Xxxxxxxx, XX 00000 Xxxxx PA 19342 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Pentec may be required to provide OIG with an electronic additional copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document OIG’s requested format (pdfelectronic or paper), in addition to a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Aegerion: Xxxxx Xxxxxxx Vice President, Ethics and Compliance Officer Aegerion Pharmaceuticals, Inc. Xxx Xxxx Xxxxxx, Xxxxx 000 Xxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Email: xxxxxxxxxx.xx@xxxxxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Aegerion may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement (Novelion Therapeutics Inc.)

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 202.205.0604 Kindred and RehabCare: Xxxxx Xxxxxxxxx Senior Vice President and Chief Compliance Officer 000 Xxxxx Xxxxxx Xxxxxx Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Kindred may be required to provide OIG with an electronic RehabCare and Kindred - Corporate Integrity Agreement copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General‌ U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 FHG:‌‌‌ Xx. Xxxxx Xxxx Frederickburg Hospitalist Group, P.C. 000 Xxxxxxxx Xxxxxx Xxxx Xxxxxxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxxxxxx@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA may IA shall be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health FHG may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), IA in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

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NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 202.205.0604 Kindred and RehabCare: Xxxxx Xxxxxxxxx Senior Vice President and Chief Compliance Officer 000 Xxxxx Xxxxxx Xxxxxx Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Kindred may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.. RehabCare and Kindred - Corporate Integrity Agreement

Appears in 1 contract

Samples: Corporate Integrity Agreement (Kindred Healthcare, Inc)

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Cxxxx Building, Room 5527 000 300 Xxxxxxxxxxxx Xxxxxx, X.X. WashingtonXxxxxxxxxx, DC 20201 XX 00000 Telephone: 000.000.0000 200.000.0000 Facsimile: 202.205.0604 Dignity Health: InterMune Mxxxxxx XxXxx Compliance Officer InterMune, Inc. 3000 Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx Xxxx. Xxxxxxxx, XX 00000 Telephone: 000.000.0000 400.000.0000 Facsimile: 818.409.5266 400.000.0000 With a copy to: Rxxxx Xxxxxx Senior Vice President General Counsel and Corporate Secretary InterMune, Inc. 3000 Xxxxxxxx Xxxx. Xxxxxxxx, XX 00000 Telephone: 400.000.0000 Facsimile: 415.508.0006 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement (Intermune Inc)

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Provider: Xxxxxxxxx Xxxxxxxxxxx Olive Street Pharmacy 00000 Xxx Xxxxx Xxxxxx Xxxx, Xxx. 000 Xxxxx Xxxxx, XX 00000 xxxxxxx@xxxxxxx.xxx 000-000-0000 and Xxxxxx X. Xxxxxxxxxxx, Esq. Xxxxx Xxxxxxxxx 000 Xxxxxxxxxx Xxx., 0xx Xxxxx Xx. Xxxxx, XX 00000 xxxx.xxxxxxxxxxx@xxxxxxxxxxxxxx.xxx 314-345-6269 Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Provider may be required to provide OIG with an electronic additional copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA IA in searchable portable document OIG’s requested format (pdfelectronic or paper), in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Xx. Xxxxxxxx’x Compliance Contact: Xxxxx X. Xxxxxxxx, M.D. 0000 Xxxx Xxxxxx, Xxxxx 0X Xxxxxxxxx, Xxxxxxxxxxx 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA may IA shall be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Xx. Xxxxxxxx may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA IA in searchable portable document format (pdf), either instead of or in addition to to, a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 202.205.0604 Amedisys, Inc. and Amedisys Holding, LLC Corporate Integrity Agreement Amedisys: Xxxxxxx X. Xxxxx Chief Compliance Officer Amedisys, Inc. 0000 Xxxxx Xxxxxxxx Xxxxxx Xxxxxxxxx Xxxxx Xxxxx, Xxxxxxxxx 00000 Telephone: 000.000.0000 Facsimile: 225.292.8163 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Amedisys may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement (Amedisys Inc)

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 202.205.0604 Exactech: Xxxxxxx X. Xxxxxxx Vice President, Quality/Clinical/Regulatory Affairs Corporate Compliance Officer 0000 XX 00 Xxxxx Xxxxxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 352.378.2617 xxxx.xxxxxxx@xxxx.xxx Exactech, Inc. - Corporate Integrity Agreement Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Exactech may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), either instead of or in addition to to, a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement (Exactech Inc)

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 Facsimile: 818.409.5266 202.205.0604 Toccoa:‌ Xxxxx Xxxxxxxx, Compliance Officer Toccoa Clinic Medical Associates, LLP 00 Xxx X Xxxx Xxxxxx, Xxxxxxx 00000 Telephone: 000.000.0000 Drs. Burken and Xxxxxxxx:‌‌‌‌ Xxxxxxx Xxxxxx, M.D. Xxxxxxxx Xxxxxxxx, M.D. 000 Xxx X Xxxx Xxxxxx, XX 00000 Telephone: 000.000.0000 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Toccoa may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), in addition to a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Monos, Ltd., 215, and Xxxxxxxx:‌‌ Xx. Xxxxxx Xxxxxxxx Address: 0000 Xxxxxxxxxxx Xxx, Xxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email Address: Xxxxxx@xxxxxxxxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Monos, Ltd., 215, and Xxxxxxxx may be required to provide OIG with an electronic additional copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA IA in searchable portable document OIG’s requested format (pdfelectronic or paper), in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 SOUTHERN STATES Xxxxx Xxxxx 0000 Xxxxxxxx Xxxxx Xxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Email: xxxxxxx@xxxxx.xxx Unless otherwise specified, all notifications and reports required by this CIA may shall be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Southern States may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf), either instead of or in addition to to, a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General‌ U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000‌ Facsimile: 818.409.5266 (000) 000-0000 Xx. Xxxxxxxx and Xxxxxxxx, P.C.: Xxxxxxxxx X. Xxxxxxx, Xx., Esq. Ruskin Moscou Faltischek, P.C. 0000 XXX Xxxxx Xxxx Xxxxx, 00xx Xxxxx Xxxxxxxxx, Xxx Xxxx 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Xxxx X. Xxxxxxxx, M.D., P.C. 000 Xxxxxxxx Xxxxxx, Xxxxx 000 Xxxxxx Xxxx, Xxx Xxxx 00000 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Xx. Xxxxxxxx and Xxxxxxxx, P.C. may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf)IA, in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Xxxxxxx: Xxx X. Xxxxxxx Regional Radiation Oncology 000 Xxxx Xxxxx Industrial Loop Shreveport, LA 71106 (000) 000-0000 with copy to: Xxxx Xxxxxxxx, Esquire GrayRobinson, P.A. 000 X. Xxxxxxx Street, Suite 2700 Tampa, FL 33602 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA may IA shall be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Xxxxxxx may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA IA in searchable portable document format (pdf), either instead of or in addition to to, a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA shall be submitted to the following entities: OIG: Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXxxxxxxxxx, XX 00000 Telephone: 000.000.0000 000-000-0000 Facsimile: 818.409.5266 000-000-0000 Walgreens: Xxxx Xxxxx, Compliance Officer X/x Xxxxxxxxx xxx Xxxxxxxxxx Xxx Xxxxxxxxxx Xxxxxxxx Xx. 000 Xxxxxx Xxxx Deerfield, IL 60015 Telephone: 000-000-0000 Facsimile: 000-000-0000 Unless otherwise specified, all notifications and reports required by this CIA may be made by certified mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health may be required The OIG will attempt in good faith to provide OIG with an electronic copy copies of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format notifications and reports to counsel for Walgreens, Xxxxxxxxx Xxxxxxxx, Fulbright & Xxxxxxxx, L.L.P., 000 Xxxxxxxxxxxx Xxxxxx, X.X., Xxxxxxxxxx, X.X. 00000 (pdfPhone: 000-000-0000, Facsimile: 202-662-4643), in addition to a paper copy.

Appears in 1 contract

Samples: Corporate Integrity Agreement

NOTIFICATIONS AND SUBMISSION OF REPORTS. Unless otherwise stated in writing after the Effective Date, all notifications and reports required under this CIA IA shall be submitted to the following entities: OIG: OIG:‌ Administrative and Civil Remedies Branch Office of Counsel to the Inspector General Office of Inspector General General‌ U.S. Department of Health and Human Services Xxxxx Building, Room 5527 000 Xxxxxxxxxxxx Xxxxxx, X.X. Washington, DC 20201 Telephone: 000.000.0000 Facsimile: 202.205.0604 Dignity Health: Xxxxxxxx Xxxxxxxxx, MBA, CHC, CHPC Dignity Health 000 Xxxxx Xxxx Xxxxxx, 0xx xxxxx XxxxxxxxXX Xxxxxxxxxx, XX 00000 Telephone: 000.000.0000 (000) 000-0000 Facsimile: 818.409.5266 (000) 000-0000 Hanflink:‌‌‌‌ Xx. Xxxxxx Xxxxxxxx 0000 X. Xxxxxxx 00X Xx. Xxxx, Florida 00000 (000) 000-0000 xxxxxxxxx@xxxxx.xxx And a copy of any and all notices and correspondence to: Xxxxxxx X. Xxxxxxxxx, Esquire‌‌ Xxxxxxxxxxx Xxxxxx Xxxxxx Xxxxxx & Xxxxxxxx, LLP 0000 Xxxxxx Xxxxxx, Xxxxx 0000‌ Philadelphia, PA 19103 xxx@xxxxxxxxxxx.xxx (000) 000-0000 Unless otherwise specified, all notifications and reports required by this CIA IA may be made by certified electronic mail, overnight mail, hand delivery, or other means, provided that there is proof that such notification was received. For purposes of this requirement, internal facsimile confirmation sheets do not constitute proof of receipt. Upon request by OIG, Dignity Health Hanflink may be required to provide OIG with an electronic copy of each Corporate Integrity Agreement Dignity Health notification or report required by this CIA in searchable portable document format (pdf)IA, in addition to a paper copy.

Appears in 1 contract

Samples: Integrity Agreement

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