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DSH360170 BERGER HOSPITAL (Active)
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Main Details
Name
BERGER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360170
Medicare Provider Number
360170
Additional Details
Current Program Status
Active
Registration Date
9/4/2009
Participating Start Date
10/1/2009
Participating Approval Date
9/14/2009
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
OhioHealth Berger Hospital
Casey Thomas Liddy, President
(843) 270-5672
Primary Contact
OhioHealth
Michael Bandy, Pharmacy Site Manager
(740) 420-8291
Addresses
Street Address
600 N. PICKAWAY STREET
CIRCLEVILLE, OH 43113
Billing Address
OhioHealth
PO Box 9
Columbus, OH 43216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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