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DSH360096A EAST LIVERPOOL CITY HOSPITAL (Active)
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Main Details
Name
EAST LIVERPOOL CITY HOSPITAL
Subdivision Name
Wellsville Rural Health Clinic - Primary care, family medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360096A
Medicare Provider Number
360096
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/1/2024
Last Recertification Date
Contacts
Authorizing Official
East Liverpool City Hospital
Jamie McKenzie, CFO
(330) 386-2655
Primary Contact
East Liverpool City Hospital
Bill Smith, Director of Pharmacy
(330) 386-2023
Addresses
Street Address
601 Main St
Wellsville, OH 43968-1662
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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