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DSH360039AK GENESIS HEALTHCARE SYSTEM (Approved)
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Main Details
Name
GENESIS HEALTHCARE SYSTEM
Subdivision Name
Respiratory Therapy - 6790 Genesis Perry County Respiratory Therapy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360039AK
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
301 Dr. Mike Clouse Drive
Suite 2
Somerset, OH 43783
Billing Address
Genesis HealthCare System
4051 Northpointe Drive
Building 7
Zanesville, OH 43701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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