340B Drug Pricing Program Database
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DSH360059GF METROHEALTH MEDICAL CENTER (Active)
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Main Details
Name
METROHEALTH MEDICAL CENTER
Subdivision Name
OHIO CITY HEALTH CENTER / MULTI SPECIALTY PRACTICE - OHIO CITY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360059GF
Medicare Provider Number
360059
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/9/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/3/2015
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
4757 LORAIN AVE
CLEVELAND, OH 44102-3442
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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