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DSH390081 Delaware County Memorial Hospital (Terminated)
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Main Details
Name
Delaware County Memorial Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390081
Medicare Provider Number
390081
Additional Details
Current Program Status
Terminated
Registration Date
5/25/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/21/2012
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
501 N. Lansdowne Avenue
Drexel Hill, PA 19026-1186
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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