340B Drug Pricing Program Database
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DSH360096 EAST LIVERPOOL CITY HOSPITAL (Active)
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Main Details
Name
EAST LIVERPOOL CITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360096
Medicare Provider Number
360096
Additional Details
Current Program Status
Active
Registration Date
4/13/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/28/2015
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
East Liverpool City Hospital
Jamie McKenzie, CFO
(330) 386-2655
Primary Contact
East Liverpool City Hospital
Bill Smith, Director of Pharmacy
(330) 386-2023
Addresses
Street Address
425 WEST FIFTH STREET
EAST LIVERPOOL, OH 43920
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/26/15 previously participated starting 10/1/2007, terminated 10/1/2014 due to failure to recertify, reinstated based on new registration submitted in 4/2015.
05/28/2015
April 2025
April 2025
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