340B Drug Pricing Program Database
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DSH360059AB METROHEALTH MEDICAL CENTER (Active)
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Main Details
Name
METROHEALTH MEDICAL CENTER
Subdivision Name
METROHEALTH BUCKEYE HEALTH CENTER- INTERNAL MED
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360059AB
Medicare Provider Number
360059
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2014
Participating Start Date
1/1/2017
Participating Approval Date
1/31/2014
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Metrohealth Medical Center
Ryan Mezinger, SVP Chief Pharmacy Officer
(216) 778-3012
Primary Contact
The MetroHealth System
Angela Campitelli, Director 340B Program
(216) 778-5008
Addresses
Street Address
2816 E 116TH ST
CLEVELAND, OH 44120-2111
Billing Address
MetroHealth Medical Center
2500 MetroHealth Drive
Cleveland, OH 44109-1900
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating 4/1/2014 until terminated effective 1/1/2016, reinstated effective 1/1/2017
12/15/2016
May 2025
May 2025
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