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DSH360020AU SUMMA HEALTH SYSTEM (Active)
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Main Details
Name
SUMMA HEALTH SYSTEM
Subdivision Name
Wound Care Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360020AU
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
623 East Market Street
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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