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DSH360039J GENESIS HEALTHCARE SYSTEM (Active)
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Main Details
Name
GENESIS HEALTHCARE SYSTEM
Subdivision Name
Genesis Interventional Pain
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360039J
Medicare Provider Number
360039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/13/2014
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Genesis Healthcare System
Michael Norman, Chief Financial Officer
(740) 454-4773
Primary Contact
Genesis Healthcare System
Shona Carr, Pharmacy 340b Manager
(740) 455-4900
Addresses
Street Address
2945 MAPLE AVE.
STE 2B
ZANESVILLE, OH 43701-1406
Billing Address
GENESIS HEALTHCARE SYSTEM
4051 Northpointe Drive
Building 7
ZANESVILLE, OH 43701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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