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DSH390006CH GEISINGER MEDICAL CENTER (Terminated)
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Main Details
Name
GEISINGER MEDICAL CENTER
Subdivision Name
Woodbine - Interventional Pain CTR Woodbine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390006CH
Medicare Provider Number
390006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/19/2024
Last Recertification Date
Termination Date
Termination Reason
10/1/2024
Other
Contacts
Authorizing Official
Geisinger Medical Center
Megan M Brosious, Chief Administrative Officer
(570) 271-8892
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
16 Woodbine Lane
Danville, PA 17821
Billing Address
Geisinger Medical Center
100 North Academy Ave
Danville, PA 17822
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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