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DSH390256F MILTON S. HERSHEY MEDICAL CENTER (Active)
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Main Details
Name
MILTON S. HERSHEY MEDICAL CENTER
Subdivision Name
PSHMG Nyes Rd Pediatric Cardiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390256F
Medicare Provider Number
390256
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
12/1/2011
Participating Start Date
12/8/2011
Participating Approval Date
12/8/2011
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Penn State Health
Tracy L Moyer, Senior Vice President of Financial Operations
(717) 531-8477
Primary Contact
Penn State Health
Samuel Wetherill, VP Pharmacy
(410) 920-4494
Addresses
Street Address
121 Nyes Road Suite D
Harrisburg, PA 17112
Billing Address
Penn State Milton S. Hershey Medical Center
500 University Dr
Hershey, PA 17033
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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