340B Drug Pricing Program Database
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DSH360133V Kettering Health Dayton (Active)
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Main Details
Name
Kettering Health Dayton
Subdivision Name
Ultrasound 75.01 / Ultrasound 415040
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360133V
Medicare Provider Number
360133
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/10/2016
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Kettering Health
Harmat Beebe, Vice President Finance Multi-Hospital Campus
(937) 723-3414
Primary Contact
Kettering Health Network:Grandview/Kettering/Ft Hamilton/Sycamore/Soin
Linda McCall, Pharmacy Director
(937) 458-4946
Addresses
Street Address
1997 Miamisburg Centerville Rd
Dayton, OH 45459
Billing Address
Kettering Health A/P
1 Prestige Place
Miamisburg, OH 45342
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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