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DSH360134J 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 AND VASCULAR / Good Samaritan Cardiac and Vascular Testing - Anderson
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360134J
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
7777 BEECHMONT AVE
SUITE 200
CINCINNATI, OH 45255-4209
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
May 2025
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