340B Drug Pricing Program Database
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DSH390113A Meadville Medical Center (Active)
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Main Details
Name
Meadville Medical Center
Subdivision Name
Mind Body Wellness Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390113A
Medicare Provider Number
390113
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/10/2013
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Meadville Medical Center
Ellie Jo Amory, 340B Program Administrator
(814) 333-5669
Primary Contact
Meadville Medical Center
Sandra J. Clark, 340B Coordinator
(814) 373-2244
Addresses
Street Address
18201 Conneaut Lake Rd.
Meadville, PA 16335
Billing Address
Meadville Medical Center
1034 Grove Street
Meadville, PA 16335
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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