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DSH360025J FIRELANDS REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
FIRELANDS REGIONAL MEDICAL CENTER
Subdivision Name
Pierce Street Dialysis
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360025J
Medicare Provider Number
360025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/10/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/1/2016
Last Recertification Date
8/27/2024
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
904 Pierce Street
Sandusky, OH 44870
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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