340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH360236G CLERMONT MERCY HOSPITAL (Terminated)
Print
Main Details
Name
CLERMONT MERCY HOSPITAL
Subdivision Name
Eastgate Surgery Center - Outpatient Surgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360236G
Medicare Provider Number
360236
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/29/2018
Last Recertification Date
8/29/2024
Termination Date
Termination Reason
1/1/2025
Site closure
Contacts
Authorizing Official
BSMH
Cameron Stockdale, Assistant CFO
(513) 735-7548
Primary Contact
BSMH
Brandon Kyle Cheek, Director of Pharmacy
(513) 732-8670
Addresses
Street Address
4415 Aicholtz Road
A
Cincinnati, OH 45245
Billing Address
Mercy Health Clermont Hospital
3000 Hospital Drive
Batavia, OH 45103
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participated starting 4/1/2016, terminated 7/1/2017. Reinstated 10/1/2018.
08/29/2018
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session