340B Drug Pricing Program Database
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DSH390113Q Meadville Medical Center (Active)
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Main Details
Name
Meadville Medical Center
Subdivision Name
MEADVILLE MEDICAL CENTER / Mammography - Vernon
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390113Q
Medicare Provider Number
390113
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/10/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/20/2017
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Meadville Medical Center
Ellie Jo Amory, 340B Program Administrator
(814) 333-5669
Primary Contact
Meadville Medical Center
Sandra J. Clark, 340B Coordinator
(814) 373-2244
Addresses
Street Address
11277 VERNON PLACE ROAD
ONE VERNON PLACE, Suite 2301
MEADVILLE, PA 16335
Billing Address
Meadville Medical Center
1034 Grove Street
Meadville, PA 16335
Comments
Medicaid Billing
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