340B Drug Pricing Program Database
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DSH360086 SPRINGFIELD REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
SPRINGFIELD REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360086
Medicare Provider Number
360086
Additional Details
Current Program Status
Active
Registration Date
1/11/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/2/2016
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Bon Secours Mercy Health
Jenelle Dee Zelinski, CFO-Springfield Region
(937) 523-5512
Primary Contact
Mercy Health
Joshua Walker, Director of Pharmacy
(937) 523-5301
Addresses
Street Address
100 MEDICAL CENTER DRIVE
SPRINGFIELD, OH 45504-2687
Billing Address
Springfield Regional Medical Center
100 Medical Center Drive
Springfield, OH 45504-2687
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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