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DSH360020AC SUMMA HEALTH SYSTEM (Active)
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Main Details
Name
SUMMA HEALTH SYSTEM
Subdivision Name
Richard M. and Yvonne Hamlin Pavilion / Pulmonary Function Testing
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360020AC
Medicare Provider Number
360020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Summa Health
Thomas Clifford Deveny, President and CEO
(234) 312-5050
Primary Contact
Summa Health
John Feucht II, Vice President, Pharmacy Services
(330) 375-4397
Addresses
Street Address
95 Arch St.
Suite 110
Akron, OH 44304
Billing Address
Summa Health
1077 Gorge Blvd.
Akron, OH 44310
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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