340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC360064-22 ST. ELIZABETH HEALTH CENTER (Approved)
Print
Main Details
Name
ST. ELIZABETH HEALTH CENTER
Subdivision Name
MH-HEART & VASC INST POLAND CARDIO - CARDIOLOGY
Type
Rural Referral Center
Rural
Yes
340B ID
RRC360064-22
Medicare Provider Number
360064
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/23/2025
Last Recertification Date
Contacts
Authorizing Official
Bon Secours Mercy Health
Michelle L Crawford, Market CFO Youngstown
(330) 718-8096
Primary Contact
Bon Secours Mercy Health
Kyle Baluh, Director, 340B Programs
(440) 227-2762
Addresses
Street Address
715 E WESTERN RESERVE ROAD
POLAND, OH 44514
Billing Address
MERCY HEALTH - ST. ELIZABETH YOUNGSTOWN HOSPITAL
1044 BELMONT AVENUE
YOUNGSTOWN, OH 44504
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session