340B Drug Pricing Program Database

Name

UH GENEVA MEDICAL CENTER

Subdivision Name

UH Geneva Ashtabula Urgent Care

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH361307-01

Medicare Provider Number

361307

Outpatient Facility Provider Number

Current Program Status

Terminated

Registration Date

7/14/2015

Participating Start Date

10/1/2015

Participating Approval Date

8/11/2015

Last Recertification Date

8/31/2016

Termination Date
Termination Reason

10/1/2017
Site closure

Authorizing Official

UH
Michael R. Vehovec, Corporate Controller
(216) 767-8729

Primary Contact

MATTHEW JULIEN, FAII
(216) 767-8798

Street Address

2131 Lake Avenue
Ashtabula, OH 44004

Billing Address

UH Geneva Medical Center
870 W Main Street
Geneva, OH 44041-1219