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DSH360239 SYCAMORE HOSPITAL (Terminated)
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Main Details
Name
SYCAMORE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360239
Medicare Provider Number
360239
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/26/2016
Last Recertification Date
9/10/2020
Termination Date
Termination Reason
4/1/2021
Change of covered entity type
Contacts
Authorizing Official
Fort Hamilton Hospital/Grandview Medical Center/Southview Medical Center/Sycamore Medical Center
William E Villegas, Regional VP of Finance
(937) 723-3414
Primary Contact
Kettering Health Network:Grandview/Kettering/Ft Hamilton/Sycamore/Soin
Linda McCall, Pharmacy Director
(937) 458-4946
Addresses
Street Address
4000 Miamisburg-Centerville Rd
MIAMISBURG, OH 45342
Billing Address
Kettering Health Network A/P
1 Prestige Place
Miamisburg, OH 45342
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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