340B Drug Pricing Program Database
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DSH360059TU METROHEALTH MEDICAL CENTER (Active)
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Main Details
Name
METROHEALTH MEDICAL CENTER
Subdivision Name
METROHEALTH PARMA HOSPITAL - NUTRITION
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360059TU
Medicare Provider Number
360059
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/31/2024
Last Recertification Date
Contacts
Authorizing Official
Metrohealth Medical Center
Ryan Mezinger, SVP Chief Pharmacy Officer
(216) 778-3012
Primary Contact
The MetroHealth System
Angela Campitelli, Director 340B Program
(216) 778-5008
Addresses
Street Address
12301 SNOW RD
PARMA, OH 44130-1002
Billing Address
METROHEALTH MEDICAL CENTER
2500 Metrohealth Drive
Cleveland, OH 44109-1900
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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