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CAH361306-00 MERCY ALLEN HOSPITAL (Active)
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Main Details
Name
MERCY ALLEN HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361306-00
Medicare Provider Number
361306
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
9/27/2010
Participating Approval Date
9/22/2010
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
MercyHealth
Cynthia Dennison, Hospital CFO Lorain
(440) 960-3640
Primary Contact
Mercy Health
Jeffrey Cook, Director of Pharmacy - Mercy Health Lorain and Allen
(440) 960-3144
Addresses
Street Address
200 WEST LORAIN STREET
OBERLIN, OH 44074
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/18/2010- UPDATED NAME (WAS ALLEN COMMUNITY HOSPITAL);
10/18/2010
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