340B Drug Pricing Program Database
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RRC390001-23 COMMUNITY MEDICAL CENTER (Active)
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Main Details
Name
COMMUNITY MEDICAL CENTER
Subdivision Name
GEISINGER COMMUNITY MEDICAL CENTER - XR Imaging Viewmont
Type
Rural Referral Center
Rural
Yes
340B ID
RRC390001-23
Medicare Provider Number
390001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/16/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/8/2024
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Geisinger Wyoming Valley Medical Center
Ron Beer, Chief Admiistrative Officer
(570) 808-5380
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
435 SCRANTON CARBONDALE HWY
SCRANTON, PA 18508-1115
Billing Address
Geisinger Community Medical Center
1800 Mulberry St
Scranton, PA 18510
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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