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DSH360134H THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO (Active)
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Main Details
Name
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OHIO
Subdivision Name
GOOD SAMARITAN CARDIAC TESTING-CLIF
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360134H
Medicare Provider Number
360134
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/26/2016
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
The Good Samaritan Hospital of Cincinnati Ohio
Michael Crofton, Sr. Vice President & CFO
(513) 569-6577
Primary Contact
The Good Samaritan Hospital of Cincinnati Ohio
Greg Nocito, Director of Pharmacy Operations
(513) 865-1495
Addresses
Street Address
3219 CLIFTON AVE
SUITE 400B
CINCINNATI, OH 45220-3099
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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