340B Drug Pricing Program Database
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DSH360087 LUTHERAN HOSPITAL (Active)
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Main Details
Name
LUTHERAN HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360087
Medicare Provider Number
360087
Additional Details
Current Program Status
Active
Registration Date
2/14/2006
Participating Start Date
4/1/2006
Participating Approval Date
2/15/2006
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Lutheran Hospital
Christopher Rodriguez, Senior Director Hospital Operations
(216) 346-2102
Primary Contact
Cleveland Clinic
Michael Marchionda, Program Administrator, 340B
(216) 316-8583
Addresses
Street Address
1730 WEST 25TH STREET
CLEVELAND, OH 44113
Billing Address
Cleveland Clinic
6801 Brecksville Road – Suite 20
Mail Code: RK1-25
Independence, OH 44131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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