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DSH360039AR GENESIS HEALTHCARE SYSTEM (Approved)
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Main Details
Name
GENESIS HEALTHCARE SYSTEM
Subdivision Name
Genesis Coshocton Medical Center Respiratory Therapy - 9990 GCMC Respiratory Therapy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360039AR
Medicare Provider Number
360039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/14/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/30/2025
Last Recertification Date
Contacts
Authorizing Official
Genesis Healthcare System
Michael Norman, Chief Financial Officer
(740) 454-4773
Primary Contact
Genesis Healthcare System
Shona Carr, Pharmacy 340b Manager
(740) 455-4900
Addresses
Street Address
48439 Genesis Drive
Coshocton, OH 43812
Billing Address
Genesis HealthCare System
4051 Northpointe Drive
Building 7
Zanesville, OH 43701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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