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DSH360039F GENESIS HEALTHCARE SYSTEM (Active)
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Main Details
Name
GENESIS HEALTHCARE SYSTEM
Subdivision Name
GENESIS SURGERY CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360039F
Medicare Provider Number
360039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/1/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/17/2011
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Genesis Healthcare System
Michael Norman, Chief Financial Officer
(740) 454-4773
Primary Contact
Genesis Healthcare System
Shona Carr, Pharmacy 340b Manager
(740) 455-4900
Addresses
Street Address
2907 Bell Street
ZANESVILLE, OH 43701
Billing Address
GENESIS HEALTHCARE SYSTEM
4051 Northpointe Drive
Building 7
ZANESVILLE, OH 43701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
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2/13/12 ADDED MEDICAID #0364430
02/13/2012
07/25/11 updated name(was ZANESVILLE SURGERY CENTER)06/16/11-DOC RECD TO CONFIRM ELIG DSH ADJ %
07/25/2011
06/16/11-DOC RECD TO CONFIRM ELIG DSH ADJ %
06/17/2011
2/13/12 ADDED NPI #0364430
06/01/2011
May 2025
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