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DSH360068C THE TOLEDO HOSPITAL (Active)
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Main Details
Name
THE TOLEDO HOSPITAL
Subdivision Name
WOMEN'S SERVICES-CHS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360068C
Medicare Provider Number
360068
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/29/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/29/2011
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
ProMedica
Andrew James Hageman, Finance Director
(567) 585-0990
Primary Contact
Promedica Health Systems
Devan Matthew Ribley, Lead 340B Analyst
(567) 585-0154
Addresses
Street Address
2150 WEST CENTRAL AVE
1ST FLOOR POD D
TOLEDO, OH 43606
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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