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DSH360025D FIRELANDS REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
FIRELANDS REGIONAL MEDICAL CENTER
Subdivision Name
Firelands Counseling & Recovery Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360025D
Medicare Provider Number
360025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/1/2016
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Firelands Regional Medical Center
Kevin Riley, CFO
(419) 557-7797
Primary Contact
Firelands Regional Medical Center
Keith Posendek, Pharmacy Director
(419) 557-6942
Addresses
Street Address
76 ASHWOOD DR
FIRELANDS COUNSELING & RECOVERY SVCS
TIFFIN, OH 44883
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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