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DSH390006 GEISINGER MEDICAL CENTER (Active)
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Main Details
Name
GEISINGER MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390006
Medicare Provider Number
390006
Additional Details
Current Program Status
Active
Registration Date
3/4/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/5/2008
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Geisinger Health
Michael Anthony Evans, VP Pharmacy CPO
(570) 271-6192
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/7/08-REVISED ADDRESS (ADDED 'PHARMACY 42-01')
04/07/2008
April 2025
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