340B Drug Pricing Program Database
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DSH390156A MERCY CATHOLIC MEDICAL CENTER (Terminated)
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Main Details
Name
MERCY CATHOLIC MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390156A
Medicare Provider Number
390156
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/25/2008
Participating Start Date
7/1/2003
Participating Approval Date
4/25/2008
Last Recertification Date
8/30/2019
Termination Date
Termination Reason
7/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Mercy Health System
David Wajda, CFO
(215) 335-6281
Primary Contact
Mercy Catholic Medical Center
Kellyann Morrison, Pharmacy Manager
(610) 237-4341 Ext: 39350
Addresses
Street Address
501 South 54th
ATTN: CHIEF FINANCIAL OFFICER
Philadelphia, PA 19143
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/25/08 MOVED ADDR TO SHIP TO
05/08/2008
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