340B Drug Pricing Program Database
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DSH390006T GEISINGER MEDICAL CENTER (Terminated)
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Main Details
Name
GEISINGER MEDICAL CENTER
Subdivision Name
Geisinger Medical Center Woodbine (HBC)
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390006T
Medicare Provider Number
390006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/17/2013
Last Recertification Date
8/18/2021
Termination Date
Termination Reason
10/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Geisinger Medical Center
Megan M Brosious, Chief Administrative Officer
(570) 271-8892
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
16 Woodbine Lane
Danville, PA 17822-5210
Billing Address
Geisinger Medical Center
100 North Academy Avenue
Pharmacy Department 42-01
Danville, PA 17822
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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