340B Drug Pricing Program Database
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DSH360059BK METROHEALTH MEDICAL CENTER (Active)
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Main Details
Name
METROHEALTH MEDICAL CENTER
Subdivision Name
METROHEALTH WEST 150TH HEALTH AND SURGERY CENTER FETAL DIAGNOSTIC CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360059BK
Medicare Provider Number
360059
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/23/2015
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
4330 W 150TH ST
CLEVELAND, OH 44135-1316
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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