340B Drug Pricing Program Database


DSH360025F FIRELANDS REGIONAL MEDICAL CENTER (Active) - information as of 5/2/2025 10:29:51 PM

Main Details
FIRELANDS REGIONAL MEDICAL CENTER
Center for Coordinated Care
Disproportionate Share Hospital
Yes
DSH360025F
360025


Additional Details
Active
10/7/2016
1/1/2017
11/1/2016
8/14/2024

Contacts

Firelands Regional Medical Center
Kevin Riley, CFO
(419) 557-7797

Firelands Regional Medical Center
Keith Posendek, Pharmacy Director
(419) 557-6942

Addresses

1221 Hayes Avenue
Suites F
Sandusky, OH 44870

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
OH32937251801884655
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH360025AChildDSHFIRELANDS REGIONAL MEDICAL CENTERInfusion Services1401 Bone Creek DriveSanduskyOHTerminated
DSH360025BChildDSHFIRELANDS REGIONAL MEDICAL CENTERCancer Center701 Tyler StreetSanduskyOHActive
DSH360025CChildDSHFIRELANDS REGIONAL MEDICAL CENTERFirelands Counseling and Recovery Services22052 West State Route 51GenoaOHTerminated
DSH360025DChildDSHFIRELANDS REGIONAL MEDICAL CENTERFirelands Counseling & Recovery Services76 ASHWOOD DRTIFFINOHActive
DSH360025EChildDSHFIRELANDS REGIONAL MEDICAL CENTERFIRELANDS REGIONAL SURGERY CENTER2800 HAYES AVE ESANDUSKYOHTerminated
DSH360025FChildDSHFIRELANDS REGIONAL MEDICAL CENTERCenter for Coordinated Care1221 Hayes AvenueSanduskyOHActive
DSH360025GChildDSHFIRELANDS REGIONAL MEDICAL CENTERBellevue Dialysis - outpatient290 Progress DriveBellevueOHActive
DSH360025HChildDSHFIRELANDS REGIONAL MEDICAL CENTERFIRELANDS COUNSELING AND REVOVERY SERVICES76 ASHWOOD DRTIFFINOHTerminated
DSH360025JChildDSHFIRELANDS REGIONAL MEDICAL CENTERPierce Street Dialysis904 Pierce StreetSanduskyOHActive
DSH360025KChildDSHFIRELANDS REGIONAL MEDICAL CENTERFIRELANDS COUNSELING AND RECOVERY SERVICES6150 Park Square DriveLorainOHTerminated
DSH360025LChildDSHFIRELANDS REGIONAL MEDICAL CENTERFirelands Counseling and Recovery Services335 Buckeye BlvdPort ClintonOHActive
DSH360025MChildDSHFIRELANDS REGIONAL MEDICAL CENTERFIRELANDS COUNSELING AND RECOVERY SERVICES292 BENEDICT AVENORWALKOHActive
DSH360025NChildDSHFIRELANDS REGIONAL MEDICAL CENTERFirelands Counseling and Recovery Services97 Houpt Drive, Suite WUpper SanduskyOHTerminated
DSH360025PChildDSHFIRELANDS REGIONAL MEDICAL CENTERFirelands Counseling and Recovery Services1925 HAYES AVESANDUSKYOHActive
DSH360025QChildDSHFIRELANDS REGIONAL MEDICAL CENTERFirelands Counseling and Recovery Services1100 Neal Zick RoadWillardOHTerminated
DSH360025RChildDSHFIRELANDS REGIONAL MEDICAL CENTERFirelands Counseling & Recovery Services675 BARTSON RDFREMONTOHActive
DSH360025SChildDSHFIRELANDS REGIONAL MEDICAL CENTERFirelands Counseling & Recovery Services122W CENTER STFOSTORIAOHTerminated
DSH360025TChildDSHFIRELANDS REGIONAL MEDICAL CENTERFirelands Counseling and Recovery Services290 Progress Drive, Suite BBellevueOHActive
DSH360025UChildDSHFIRELANDS REGIONAL MEDICAL CENTERImaging Services2500 WEST STRUB ROADSANDUSKYOHTerminated
DSH360025VChildDSHFIRELANDS REGIONAL MEDICAL CENTERInfusion Center - Varied Specialties701 Tyler StreetSanduskyOHTerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsAuthorizing OfficialUpdateProfile Change RequestRiley, Kevin CFO Firelands Regional Medical Center 4195577792Riley, Kevin CFO Firelands Regional Medical Center 41955777979/9/2024 3:39 PM
DetailsLast Recertification DateUpdateRecertification8/25/2023 11:10:50 AM8/14/2024 10:38:53 AM8/14/2024 10:38 AM
ContactsPrimary ContactUpdateProfile Change RequestHorsfall II, Joseph T. Pharmacy Director Firelands Regional Medical Center 4195576942Posendek, Keith Pharmacy Director Firelands Regional Medical Center 41955769426/13/2024 2:18 PM
ContactsPrimary ContactUpdatePC Change RequestTurner, Scott 340B Compliance Analyst Firelands Regional Medical Center 4195575038Horsfall II, Joseph T. Pharmacy Director Firelands Regional Medical Center 41955769422/20/2024 7:39 AM
DetailsLast Recertification DateUpdateRecertification9/1/2022 10:36:43 AM8/25/2023 11:10:50 AM8/25/2023 11:10 AM
ContactsAuthorizing OfficialUpdateChange Requestmoore, Robert M vice president Firelands Regional Medical Center 4195575510Riley, Kevin CFO Firelands Regional Medical Center 419557779212/29/2022 12:21 PM
DetailsLast Recertification DateUpdateRecertification9/7/2021 11:08:57 AM9/1/2022 10:36:43 AM9/1/2022 10:36 AM
ContactsPrimary ContactUpdatePC Change RequestWaller, David Director, Pharmacy Services Firelands Regional Medical Center 4195576942Turner, Scott 340B Compliance Analyst Firelands Regional Medical Center 41955750386/28/2022 11:00 AM
ContactsAuthorizing OfficialUpdateAO Change RequestMoncher, Daniel J. Executive Vice President & CFO Firelands Regional Medical Center 4195577793moore, Robert M vice president Firelands Regional Medical Center 41955755102/22/2022 9:18 AM
DetailsLast Recertification DateUpdateRecertification8/18/2020 9:54:45 AM9/7/2021 11:08:57 AM9/7/2021 11:08 AM
AddressesMain AddressUpdateChange Request 1221 Hayes Avenue Suites B, F, J Sandusky, OH 44870 1221 Hayes Avenue Suites F Sandusky, OH 448703/2/2021 11:50 AM
DetailsLast Recertification DateUpdateRecertification8/20/2019 9:58:10 AM8/18/2020 9:54:45 AM8/18/2020 9:54 AM
Medicaid BillingNPI: StateUpdateChange Request OH8/16/2020 7:35 PM
DetailsLast Recertification DateUpdateRecertification8/16/2018 10:49:42 AM8/20/2019 9:58:10 AM8/20/2019 9:58 AM
AddressesMain AddressUpdateChange Request 1221 Hayes Avenue Sandusky, OH 44870 1221 Hayes Avenue Suites B, F, J Sandusky, OH 448704/11/2019 10:40 AM
DetailsLast Recertification DateUpdateRecertification11/3/2017 10:19:47 AM8/16/2018 10:49:42 AM8/16/2018 10:49 AM
ContactsPrimary ContactInsertRecertification Waller, David Director, Pharmacy Services Firelands Regional Medical Center 419557694211/3/2017 10:19 AM
DetailsLast Recertification DateUpdateRecertification 11/3/2017 10:19:47 AM11/3/2017 10:19 AM
ContactsAuthorizing OfficialUpdate Moncher, Daniel J. Executive Vice President & CFO 4195577793Moncher, Daniel J. Executive Vice President & CFO Firelands Regional Medical Center 41955777939/19/2017 10:30 AM
ContactsSigned ByUpdate Moncher, Daniel J. Executive Vice President & CFO 4195577793Moncher, Daniel J. Executive Vice President & CFO Firelands Regional Medical Center 41955777939/19/2017 10:30 AM
ContactsAuthorizing OfficialInsert  Moncher, Daniel J. Executive Vice President & CFO 41955777933/23/2017 7:53 AM
ContactsSigned ByInsert  Moncher, Daniel J. Executive Vice President & CFO 41955777933/23/2017 7:53 AM
AddressesMain AddressInsert   1221 Hayes Avenue Sandusky, OH 4487011/1/2016 11:01 AM
DatesParticipating Approval DateUpdate  11/1/2016 12:00:00 AM11/1/2016 10:59 AM
DetailsStateUpdate PendingActive11/1/2016 10:59 AM
DatesStart DateUpdate  1/1/2017 12:00:00 AM11/1/2016 10:59 AM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_72626DSH360025F10/18/2016 1:06 PM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_7262610/7/2016 10:33 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False10/7/2016 10:33 AM
Medicaid BillingMedicaid: NumberInsert  329372510/7/2016 10:33 AM
Medicaid BillingMedicaid: StateInsert  OH10/7/2016 10:33 AM
Medicaid BillingNPI: NumberInsert  180188465510/7/2016 10:33 AM
DetailsLast Recertification DateInsert   10/7/2016 10:33 AM
DetailsGrant NumberInsert   10/7/2016 10:33 AM
Details340B IDInsert   10/7/2016 10:33 AM
DetailsIs Authorizing Official EHB DataInsert   10/7/2016 10:33 AM
DatesLast Date That 340B Drugs PurchasedInsert   10/7/2016 10:33 AM
DetailsMedicare Provider NumberInsert  36002510/7/2016 10:33 AM
DetailsEntity NameInsert  FIRELANDS REGIONAL MEDICAL CENTER10/7/2016 10:33 AM
DetailsProgram CodeInsert  DSH10/7/2016 10:33 AM
DetailsEntity SubnameInsert  Center for Coordinated Care10/7/2016 10:33 AM
DatesParticipating Approval DateInsert   10/7/2016 10:33 AM
DetailsStateInsert  Pending10/7/2016 10:33 AM
DatesRegistration DateInsert  10/7/2016 12:00:00 AM10/7/2016 10:33 AM
DatesSigned By DateInsert  10/7/2016 12:00:00 AM10/7/2016 10:33 AM
DatesStart DateInsert   10/7/2016 10:33 AM
TerminationsTermination CommentsInsert   10/7/2016 10:33 AM
TerminationsTermination DateInsert   10/7/2016 10:33 AM
TerminationsTermination Effective DateInsert   10/7/2016 10:33 AM
TerminationsTermination ReasonInsert   10/7/2016 10:33 AM