Medicaid Billing | NPI: Number | Insert | Change Request | | 1699206284 | 12/5/2024 9:05 AM |
Medicaid Billing | NPI: State | Insert | Change Request | | PA | 12/5/2024 9:05 AM |
Medicaid Billing | NPI: Number | Insert | Change Request | | 1053027532 | 12/5/2024 9:05 AM |
Medicaid Billing | NPI: State | Insert | Change Request | | PA | 12/5/2024 9:05 AM |
Medicaid Billing | NPI: Number | Insert | Change Request | | 1184302424 | 12/5/2024 9:05 AM |
Medicaid Billing | NPI: State | Insert | Change Request | | PA | 12/5/2024 9:05 AM |
Medicaid Billing | NPI: Number | Insert | Change Request | | 1497539373 | 12/5/2024 9:05 AM |
Medicaid Billing | NPI: State | Insert | Change Request | | PA | 12/5/2024 9:05 AM |
Contacts | Primary Contact | Update | Profile Change Request | Deegan, Krista M
340B Analyst
Reading Hospital
4846288177 | Deegan, Krista M
340B Manager
Reading Hospital
4846288177 | 9/26/2024 11:27 AM |
Details | Last Recertification Date | Update | Recertification | 8/14/2023 9:20:47 AM | 8/26/2024 8:42:31 AM | 8/26/2024 8:42 AM |
Details | Last Recertification Date | Update | Recertification | 9/12/2022 9:59:53 AM | 8/14/2023 9:20:47 AM | 8/14/2023 9:20 AM |
Contacts | Primary Contact | Update | Group Change Request | Jefferson, Maegan
System Director 340B Program
Reading Hospital
4846288173 | Deegan, Krista M
340B Analyst
Reading Hospital
4846288177 | 5/25/2023 12:24 PM |
Details | Last Recertification Date | Update | Recertification | 8/30/2021 9:47:17 AM | 9/12/2022 9:59:53 AM | 9/12/2022 9:59 AM |
Contacts | Primary Contact | Update | Profile Change Request | Jefferson, Maegan
340B Contract Manager
Reading Hospital
4846288173 | Jefferson, Maegan
System Director 340B Program
Reading Hospital
4846288173 | 10/7/2021 11:07 AM |
Details | Last Recertification Date | Update | Recertification | 8/31/2020 10:20:58 AM | 8/30/2021 9:47:17 AM | 8/30/2021 9:47 AM |
Medicaid Billing | NPI: Number | Insert | Recertification | | 1497844831 | 8/31/2020 10:20 AM |
Medicaid Billing | NPI: State | Insert | Recertification | | PA | 8/31/2020 10:20 AM |
Medicaid Billing | NPI: Number | Insert | Recertification | | 1669530069 | 8/31/2020 10:20 AM |
Medicaid Billing | NPI: State | Insert | Recertification | | PA | 8/31/2020 10:20 AM |
Medicaid Billing | NPI: Number | Delete | Recertification | 1497844831 ( ) | | 8/31/2020 10:20 AM |
Medicaid Billing | NPI: Number | Delete | Recertification | 1669530069 ( ) | | 8/31/2020 10:20 AM |
Details | Last Recertification Date | Update | Recertification | 8/21/2019 12:02:14 PM | 8/31/2020 10:20:58 AM | 8/31/2020 10:20 AM |
Details | Last Recertification Date | Update | Recertification | 8/24/2018 9:10:28 AM | 8/21/2019 12:02:14 PM | 8/21/2019 12:02 PM |
Contacts | Primary Contact | Update | Change Request | Mercer, John
Director of Pharmacy
Reading Hospital
4846289327 | Jefferson, Maegan
340B Contract Manager
Reading Hospital
4846288173 | 11/9/2018 3:36 PM |
Contacts | Authorizing Official | Update | Change Request | Conner, Gary
Chief Financial Officer
Reading Hospital
4846288181 | Ehinger, Robert
CFO
Reading Hospital
4846288445 | 10/22/2018 10:27 AM |
Details | Last Recertification Date | Update | Recertification | 11/14/2017 2:18:03 PM | 8/24/2018 9:10:28 AM | 8/24/2018 9:10 AM |
Addresses | Billing Address | Insert | Change Request | | Reading Hospital
420 South 5th Avenue
West Reading, PA 19611 | 3/12/2018 12:54 PM |
Addresses | Main Address | Update | Change Request |
206 S SIXTH AVE
THE READING HOSPITAL CHILDREN'S HEALTH CENTER
WEST READING, PA 19611-1411 |
206 S SIXTH AVE
WEST READING, PA 19611-1411 | 3/12/2018 12:54 PM |
Medicaid Billing | NPI: Number | Insert | Change Request | | 1669530069 | 3/12/2018 12:54 PM |
Details | Last Recertification Date | Update | Recertification | | 11/14/2017 2:18:03 PM | 11/14/2017 2:18 PM |
Contacts | Authorizing Official | Insert | Change Request | | Conner, Gary
Chief Financial Officer
Reading Hospital
4846288181 | 10/18/2017 10:55 AM |
Contacts | Primary Contact | Insert | Change Request | | Mercer, John
Director of Pharmacy
Reading Hospital
4846289327 | 10/18/2017 10:20 AM |
Contacts | Signed By | Update | | Conner, Gary
Chief Financial Officer
4846288181 | Conner, Gary
Chief Financial Officer
Reading Hospital
4846288181 | 10/18/2017 10:10 AM |
Contacts | Signed By | Insert | | | Conner, Gary
Chief Financial Officer
4846288181 | 6/30/2017 11:05 AM |
Addresses | Main Address | Insert | | |
206 S SIXTH AVE
THE READING HOSPITAL CHILDREN'S HEALTH CENTER
WEST READING, PA 19611-1411 | 4/20/2017 5:30 PM |
Addresses | Shipping Address | Insert | | | Reading Hospital
420 South 5th Avenue
West Reading, PA 19611 | 4/20/2017 5:30 PM |
Medicaid Billing | NPI: Number | Insert | | | 1497844831 | 12/15/2016 2:23 PM |
Details | Entity Name | Update | | READING HOSPITAL AND MEDICAL CENTER | READING HOSPITAL | 12/9/2016 10:50 AM |
Dates | Participating Approval Date | Update | | | 10/25/2016 12:00:00 AM | 10/25/2016 1:07 PM |
Details | State | Update | | Pending | Active | 10/25/2016 1:07 PM |
Dates | Start Date | Update | | | 1/1/2017 12:00:00 AM | 10/25/2016 1:07 PM |
Details | 340B ID | Update | | OUTPATIENT_ONLINE_REG_72564 | DSH390044B | 10/21/2016 10:42 AM |
Details | Entity Subname | Update | | THE READING HOSPITAL AND MEDICAL CE | THE READING HOSPITAL CHILDREN'S HEALTH CENTER | 10/21/2016 10:42 AM |
Medicaid Billing | Medicaid: Is Primary | Insert | | | False | 10/6/2016 1:36 PM |
Medicaid Billing | Medicaid: Number | Insert | | | 1002865910069 | 10/6/2016 1:36 PM |
Medicaid Billing | Medicaid: State | Insert | | | PA | 10/6/2016 1:36 PM |
Details | 340B ID | Update | | | OUTPATIENT_ONLINE_REG_72564 | 10/6/2016 1:36 PM |
Details | Last Recertification Date | Insert | | | | 10/6/2016 1:36 PM |
Details | Grant Number | Insert | | | | 10/6/2016 1:36 PM |
Details | 340B ID | Insert | | | | 10/6/2016 1:36 PM |
Details | Is Authorizing Official EHB Data | Insert | | | | 10/6/2016 1:36 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 10/6/2016 1:36 PM |
Details | Medicare Provider Number | Insert | | | 390044 | 10/6/2016 1:36 PM |
Details | Entity Name | Insert | | | READING HOSPITAL AND MEDICAL CENTER | 10/6/2016 1:36 PM |
Details | Program Code | Insert | | | DSH | 10/6/2016 1:36 PM |
Details | Entity Subname | Insert | | | THE READING HOSPITAL AND MEDICAL CE | 10/6/2016 1:36 PM |
Dates | Participating Approval Date | Insert | | | | 10/6/2016 1:36 PM |
Details | State | Insert | | | Pending | 10/6/2016 1:36 PM |
Dates | Registration Date | Insert | | | 10/6/2016 12:00:00 AM | 10/6/2016 1:36 PM |
Dates | Signed By Date | Insert | | | 10/6/2016 12:00:00 AM | 10/6/2016 1:36 PM |
Dates | Start Date | Insert | | | | 10/6/2016 1:36 PM |
Terminations | Termination Comments | Insert | | | | 10/6/2016 1:36 PM |
Terminations | Termination Date | Insert | | | | 10/6/2016 1:36 PM |
Terminations | Termination Effective Date | Insert | | | | 10/6/2016 1:36 PM |
Terminations | Termination Reason | Insert | | | | 10/6/2016 1:36 PM |