340B Drug Pricing Program Database
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DSH360118 MEDCENTRAL HEALTH SYSTEM DBA OHIOHEALTH MANSFIELD HOSPITAL (Active)
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Main Details
Name
MEDCENTRAL HEALTH SYSTEM DBA OHIOHEALTH MANSFIELD HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360118
Medicare Provider Number
360118
Additional Details
Current Program Status
Active
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/28/2016
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
OhioHealth
Curtis L Gingrich, President
(419) 526-8403
Primary Contact
OhioHealh
Eva Brahimaj, Site Manager
(419) 526-8084
Addresses
Street Address
335 GLESSNER AVE
MANSFIELD, OH 44903-2269
Billing Address
OhioHealth
PO Box 9
Columbus, OH 43216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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