340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH360025U FIRELANDS REGIONAL MEDICAL CENTER (Terminated)
Print
Main Details
Name
FIRELANDS REGIONAL MEDICAL CENTER
Subdivision Name
Imaging Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360025U
Medicare Provider Number
360025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/1/2016
Last Recertification Date
11/3/2017
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
Firelands Regional Medical Center
Daniel J. Moncher, Executive Vice President & CFO
(419) 557-7793
Primary Contact
Firelands Regional Medical Center
David Waller, Director, Pharmacy Services
(419) 557-6942
Addresses
Street Address
2500 WEST STRUB ROAD
SUITE 130
SANDUSKY, OH 44870
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session