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DSH390256AG MILTON S. HERSHEY MEDICAL CENTER (Active)
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Main Details
Name
MILTON S. HERSHEY MEDICAL CENTER
Subdivision Name
PSHMG Briarcrest (Adolescent Medicine)
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390256AG
Medicare Provider Number
390256
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/10/2014
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Penn State Health
Tracy L Moyer, Senior Vice President of Financial Operations
(717) 531-8477
Primary Contact
Penn State Health
Samuel Wetherill, VP Pharmacy
(410) 920-4494
Addresses
Street Address
905 W. Governor Road
Suite 200
Hershey, PA 17033
Billing Address
Penn State Milton S. Hershey Medical Center
500 University Dr
Hershey, PA 17033
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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