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DSH390180 Crozer Chester Medical Center (Terminated)
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Main Details
Name
Crozer Chester Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390180
Medicare Provider Number
390180
Additional Details
Current Program Status
Terminated
Registration Date
2/28/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/28/2012
Last Recertification Date
8/11/2015
Termination Date
Termination Reason
10/1/2016
For-Profit conversion
Contacts
Authorizing Official
Philip J. Ryan, Senior VP & CFO
(610) 338-8228
Primary Contact
Keith E. Lenhart, Director of Reimbursement
(610) 447-6268
Addresses
Street Address
One Medical Center Blvd
Upland, PA 19013-3995
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/10/12 UPDATED MAIN ADD (REMOVED Layton Hall Annex)
04/10/2012
June 2025
June 2025
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