Covered Entity Details

RRC390100-22 LANCASTER GENERAL HOSPITAL (Active) - information as of 4/24/2025 12:00:07 AM

Main Details

Name

LANCASTER GENERAL HOSPITAL

Subdivision Name

Medical Infusion Center - Medical Infusion Center

Type

Rural Referral Center

Rural

Yes

340B ID

RRC390100-22

Medicare Provider Number

390100

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

7/5/2019

Participating Start Date

10/1/2019

Participating Approval Date

8/29/2019

Last Recertification Date

8/30/2024

Contacts

Authorizing Official

Penn Medicine Lancaster General Health
Gary Allen Welch, CFO
(717) 544-5658

Primary Contact

Lancaster General Hospital
Matthew W Eberts, Director of Pharmacy Services
(717) 544-7156

Addresses

Street Address

2106 Harrisburg Pike
Suite 110
Lancaster, PA 17601

Billing Address

Lancaster General Hospital
Accounts Payable
555 North Duke Street PO Box 3555
Lancaster, PA 17604-3555

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
PA	1007711750119,1007711750168	1104875103

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
RRC390100-01	Child	RRC	LANCASTER GENERAL HOSPITAL	Ann B Barshinger Cancer Institute - ABBCI Lab	2102 Harrisburg Pike	Lancaster	PA	Active
RRC390100-02	Child	RRC	LANCASTER GENERAL HOSPITAL	Ann B Barshinger Cancer Institute - ABBCI Oncology Infusion Center	2102 Harrisburg Pike	Lancaster	PA	Active
RRC390100-03	Child	RRC	LANCASTER GENERAL HOSPITAL	Wound Care and Hyperbaric Services - Hyperbaric Services and Wound Care	2112 Harrisburg Pike	Lancaster	PA	Active
RRC390100-04	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH Kissel Hill - Echocardiogram - Echocardiogram	51 Peters Road	Lititz	PA	Active
RRC390100-05	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH SOP - Pain Management - Pain Management	2100 Harrisburg Pike	Lancaster	PA	Active
RRC390100-06	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH SOP - Ultrasound - Ultrasound	2100 Harrisburg Pike	Lancaster	PA	Active
RRC390100-07	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH SOP - Diagnostic Imaging - Diagnostic Imaging	2100 Harrisburg Pike	Lancaster	PA	Active
RRC390100-08	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH SOP - Surgery Center - SP SS OR	2100 Harrisburg Pike	Lancaster	PA	Active
RRC390100-09	Child	RRC	LANCASTER GENERAL HOSPITAL	NEUROSCIENCE INSTITUTE - EEG - Neuroscience EEG	2150 Harrisburg Pike	Lancaster	PA	Terminated
RRC390100-10	Child	RRC	LANCASTER GENERAL HOSPITAL	Diabetes and Nutrition Center - Diabetes and Nutrition	620 North Duke Street	Lancaster	PA	Terminated
RRC390100-11	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH Columbia - CT - Computerized Tomography	306 North Seventh Street	Columbia	PA	Active
RRC390100-12	Child	RRC	LANCASTER GENERAL HOSPITAL	Lancaster General Health Specialty Center Norlanco - Norlanco Diabetes/Nutrition	426 Cloverleaf Road	Elizabethtown	PA	Terminated
RRC390100-13	Child	RRC	LANCASTER GENERAL HOSPITAL	WBH - Maternal Fetal Medicine - Maternal Fetal Medicine - WBOMF	694 Good Drive	Lancaster	PA	Active
RRC390100-14	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH Willow Lakes - CT - Computerized Tomography	212 Willow Valley Lakes Drive	Willow Street	PA	Active
RRC390100-15	Child	RRC	LANCASTER GENERAL HOSPITAL	Lancaster General Health Ephrata - Cardiac Non-Invasive	895 East Main Street	Ephrata	PA	Active
RRC390100-16	Child	RRC	LANCASTER GENERAL HOSPITAL	WBH - Maternal Fetal Medicine Ste 23 - Maternal Fetal Medicine - WBOMS	694 Good Drive	Lancaster	PA	Active
RRC390100-17	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH Kissel Hill - CT - Computerized Tomography	51 Peters Road	Lititz	PA	Active
RRC390100-18	Child	RRC	LANCASTER GENERAL HOSPITAL	Women and Babies Hospital - Operating Room	690 Good Drive	Lancaster	PA	Active
RRC390100-19	Child	RRC	LANCASTER GENERAL HOSPITAL	LG DOP - CT - Computerized Tomography	540 North Duke Street	Lancaster	PA	Active
RRC390100-20	Child	RRC	LANCASTER GENERAL HOSPITAL	Women and Babies Hospital - Computerized Tomography	690 Good Drive	Lancaster	PA	Active
RRC390100-21	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH SOP - Surgery Center - Surgery Center	2100 Harrisburg Pike	Lancaster	PA	Terminated
RRC390100-22	Child	RRC	LANCASTER GENERAL HOSPITAL	Medical Infusion Center - Medical Infusion Center	2106 Harrisburg Pike	Lancaster	PA	Active
RRC390100-23	Child	RRC	LANCASTER GENERAL HOSPITAL	Lancaster General Health Parkesburg - Cardiac Non-Invasive	950 Octorara Trail	Parkesburg	PA	Active
RRC390100-24	Child	RRC	LANCASTER GENERAL HOSPITAL	Ann B Barshinger Cancer Institute - Gamma Knife	2102 Harrisburg Pike	Lancaster	PA	Terminated
RRC390100-25	Child	RRC	LANCASTER GENERAL HOSPITAL	Women and Babies Hospital - Labor and Delivery	690 Good Drive	Lancaster	PA	Active
RRC390100-26	Child	RRC	LANCASTER GENERAL HOSPITAL	Lancaster General Health Specialty Center Norlanco - Norlanco Cardiac Non-Invasive	426 Cloverleaf Road	Elizabethtown	PA	Active
RRC390100-27	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH Willow Lakes - Cardiac Rehab - Cardiac Rehab	212 Willow Valley Lakes Drive	Willow Street	PA	Active
RRC390100-28	Child	RRC	LANCASTER GENERAL HOSPITAL	Ann B Barshinger Cancer Institute - ABBCI Radiation Oncology	2102 Harrisburg Pike	Lancaster	PA	Active
RRC390100-29	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH SOP - Nuclear Medicine - Nuclear Medicine	2100 Harrisburg Pike	Lancaster	PA	Active
RRC390100-30	Child	RRC	LANCASTER GENERAL HOSPITAL	Women and Babies Hospital - Surgical Services	690 Good Drive	Lancaster	PA	Terminated
RRC390100-31	Child	RRC	LANCASTER GENERAL HOSPITAL	WBH - Maternal Fetal Medicine -Perinatology - Maternal Fetal Medicine - WBOMP	694 Good Drive	Lancaster	PA	Active
RRC390100-32	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH Occupational Medicine - Occupational Medicine	2110 Harrisburg Pike	Lancaster	PA	Active
RRC390100-33	Child	RRC	LANCASTER GENERAL HOSPITAL	Lancaster General Health Norlanco - Norlanco Pharmacy Services	424 Cloverleaf Road	Elizabethtown	PA	Active
RRC390100-34	Child	RRC	LANCASTER GENERAL HOSPITAL	Lancaster General Health Parkesburg - Diabetes/Nutrition	950 Octorara Trail	Parkesburg	PA	Terminated
RRC390100-35	Child	RRC	LANCASTER GENERAL HOSPITAL	Lancaster General Health Center Lebanon - Cardiac Non-Invasive	1701 Cornwall Road	Lebanon	PA	Active
RRC390100-36	Child	RRC	LANCASTER GENERAL HOSPITAL	LG Health Specialty Center Ephrata - Cardiac Non-Invasive	1261 Division Hwy	Ephrata	PA	Active
RRC390100-37	Child	RRC	LANCASTER GENERAL HOSPITAL	Lancaster General Health Harrisburg Avenue - Cardiac Non-Invasive	217 Harrisburg Avenue	Lancaster	PA	Active
RRC390100-38	Child	RRC	LANCASTER GENERAL HOSPITAL	Women and Babies Hospital - Post Anesthesia Care Unit	690 Good Drive	Lancaster	PA	Terminated
RRC390100-39	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH SOP - CT - Computerized Tomography	2100 Harrisburg Pike	Lancaster	PA	Active
RRC390100-40	Child	RRC	LANCASTER GENERAL HOSPITAL	WBH - Surgical Services DS - Surgical Services	690 Good Drive	Lancaster	PA	Terminated
RRC390100-41	Child	RRC	LANCASTER GENERAL HOSPITAL	LGH SOP - Cardiac Rehab - Cardiac Rehab	2100 Harrisburg Pike	Lancaster	PA	Active
RRC390100-42	Child	RRC	LANCASTER GENERAL HOSPITAL	LG Health Specialty Center Ephrata - Diabetes/Nutrition	1261 Division Hwy	Ephrata	PA	Terminated
RRC390100-43	Child	RRC	LANCASTER GENERAL HOSPITAL	Columbia Car Non-Invasive - Non Invasive Cardiac	306 North Seventh Street	Columbia	PA	Active
RRC390100-44	Child	RRC	LANCASTER GENERAL HOSPITAL	Norlanco-Heart Vascular Rehab - Cardiac Rehab	424 Cloverleaf Road	Elizabethtown	PA	Active
RRC390100-45	Child	RRC	LANCASTER GENERAL HOSPITAL	Penn Fertility Care Lancaster General Health - Fertility Care	2112 Harrisburg Pike	Lancaster	PA	Active
RRC390100-46	Child	RRC	LANCASTER GENERAL HOSPITAL	ABBCI Pharm Med Mgmt - Medication Education	2102 Harrisburg Pike	Lancaster	PA	Active
RRC390100-47	Child	RRC	LANCASTER GENERAL HOSPITAL	SP Non-Invasive Cardiac - Non-Invasive Cardiac	2100 HARRISBURG PIKE	Lancaster	PA	Active
RRC390100-48	Child	RRC	LANCASTER GENERAL HOSPITAL	Columbia - Pharmacy Services - Pharmacy Med Mgmt - Medication Educatoin	306 N SEVENTH STREET	COLUMBIA	PA	Active
RRC390100-49	Child	RRC	LANCASTER GENERAL HOSPITAL	LG HEALTH HARRISBURG AVENUE - HAO-Lab Testing	217 HARRISBURG AVE	LANCASTER	PA	Active
RRC390100-50	Child	RRC	LANCASTER GENERAL HOSPITAL	LGHP Diabetes and Endocrinology - Diabetes and Endocrinology	2112 Harrisburg Pike	Lancaster	PA	Active
RRC390100-51	Child	RRC	LANCASTER GENERAL HOSPITAL	LG HEALTH DOWNTOWN PAVILION - LG Health Downtown Pavillion Medication Services	540 N DUKE STREET	LANCASTER	PA	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	8/21/2023 3:10:54 PM	8/30/2024 7:24:10 AM	8/30/2024 7:24 AM
Contacts	Authorizing Official	Update	Change Request	Rinehart, Douglas Weldon Vice President & Controller Lancaster General Hospital 7175445398	Welch, Gary Allen CFO Penn Medicine Lancaster General Health 7175445658	2/15/2024 8:57 AM
Details	Last Recertification Date	Update	Recertification	8/29/2022 7:16:02 AM	8/21/2023 3:10:54 PM	8/21/2023 3:10 PM
Details	Last Recertification Date	Update	Recertification	8/17/2021 1:52:33 PM	8/29/2022 7:16:02 AM	8/29/2022 7:16 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	4/13/2022 2:35 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1007711750168	4/13/2022 2:35 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		PA	4/13/2022 2:35 PM
Details	Last Recertification Date	Update	Recertification	9/8/2020 12:51:26 PM	8/17/2021 1:52:33 PM	8/17/2021 1:52 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1104875103 ( )		9/8/2020 12:51 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1104875103	9/8/2020 12:51 PM
Medicaid Billing	NPI: State	Insert	Recertification		PA	9/8/2020 12:51 PM
Details	Last Recertification Date	Update	Recertification		9/8/2020 12:51:26 PM	9/8/2020 12:51 PM
Details	State	Update		Approved	Active	10/1/2019 12:04 AM
Addresses	Billing Address	Update	Change Request	Lancaster General Hospital Accounts Payable 555 North Duke Street PO Box 3055 Lancaster, PA 17604-3555	Lancaster General Hospital Accounts Payable 555 North Duke Street PO Box 3555 Lancaster, PA 17604-3555	9/6/2019 7:08 AM
Contacts	Signed By	Insert	New Registration		Rinehart, Douglas Weldon Vice President & Controller Lancaster General Hospital 7175445398	8/29/2019 2:48 PM
Details	340B ID	Update	New Registration		RRC390100-22	8/29/2019 2:48 PM
Details	Entity Subname	Update	New Registration	Medical Infusion Center	Medical Infusion Center - Medical Infusion Center	8/29/2019 2:48 PM
Dates	Participating Approval Date	Update	New Registration		8/29/2019 2:48:34 PM	8/29/2019 2:48 PM
Details	State	Update	New Registration	Pending	Approved	8/29/2019 2:48 PM
Dates	Signed By Date	Update	New Registration		7/8/2019 1:48:49 PM	8/29/2019 2:48 PM
Dates	Start Date	Update	New Registration		10/1/2019 12:00:00 AM	8/29/2019 2:48 PM
Addresses	Main Address	Insert	New Registration		2106 Harrisburg Pike Suite 110 Lancaster, PA 17601	7/5/2019 11:34 AM
Addresses	Billing Address	Insert	New Registration		Lancaster General Hospital Accounts Payable 555 North Duke Street PO Box 3055 Lancaster, PA 17604-3555	7/5/2019 11:34 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/5/2019 11:34 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		1007711750119	7/5/2019 11:34 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		PA	7/5/2019 11:34 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1104875103	7/5/2019 11:34 AM
Contacts	Primary Contact	Insert	New Registration		Eberts, Matthew W Director of Pharmacy Services Lancaster General Hospital 7175447156	7/5/2019 11:34 AM
Contacts	Authorizing Official	Insert	New Registration		Rinehart, Douglas Weldon Vice President & Controller Lancaster General Hospital 7175445398	7/5/2019 11:34 AM
Details	Last Recertification Date	Insert	New Registration			7/5/2019 11:34 AM
Details	Grant Number	Insert	New Registration			7/5/2019 11:34 AM
Details	340B ID	Insert	New Registration			7/5/2019 11:34 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/5/2019 11:34 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/5/2019 11:34 AM
Details	Medicare Provider Number	Insert	New Registration		390100	7/5/2019 11:34 AM
Details	Entity Name	Insert	New Registration		LANCASTER GENERAL HOSPITAL	7/5/2019 11:34 AM
Details	Program Code	Insert	New Registration		RRC	7/5/2019 11:34 AM
Details	Entity Subname	Insert	New Registration		Medical Infusion Center	7/5/2019 11:34 AM
Dates	Participating Approval Date	Insert	New Registration			7/5/2019 11:34 AM
Details	State	Insert	New Registration		Pending	7/5/2019 11:34 AM
Dates	Registration Date	Insert	New Registration		7/5/2019 11:34:40 AM	7/5/2019 11:34 AM
Dates	Signed By Date	Insert	New Registration			7/5/2019 11:34 AM
Dates	Start Date	Insert	New Registration			7/5/2019 11:34 AM
Terminations	Termination Comments	Insert	New Registration			7/5/2019 11:34 AM
Terminations	Termination Date	Insert	New Registration			7/5/2019 11:34 AM
Terminations	Termination Effective Date	Insert	New Registration			7/5/2019 11:34 AM
Terminations	Termination Reason	Insert	New Registration			7/5/2019 11:34 AM