340B Drug Pricing Program Database
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DSH390113Y Meadville Medical Center (Active)
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Main Details
Name
Meadville Medical Center
Subdivision Name
MMC ENT - ENT
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390113Y
Medicare Provider Number
390113
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2024
Participating Start Date
1/1/2025
Participating Approval Date
11/12/2024
Last Recertification Date
Contacts
Authorizing Official
Meadville Medical Center
Ellie Jo Amory, 340B Program Administrator
(814) 333-5669
Primary Contact
Meadville Medical Center
Sandra J. Clark, 340B Coordinator
(814) 373-2244
Addresses
Street Address
11277 VERNON PL
STE 1400B
MEADVILLE, PA 16335-3717
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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