340B Drug Pricing Program Database
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DSH360059QF METROHEALTH MEDICAL CENTER (Terminated)
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Main Details
Name
METROHEALTH MEDICAL CENTER
Subdivision Name
METROHEALTH SYSTEM / VASCULAR SURGERY BRECKSVILLE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360059QF
Medicare Provider Number
360059
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/17/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/28/2017
Last Recertification Date
8/16/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Metrohealth Medical Center
Ryan Mezinger, SVP Chief Pharmacy Officer
(216) 778-3012
Primary Contact
The MetroHealth System
Angela Campitelli, Director 340B Program
(216) 778-5008
Addresses
Street Address
9200 TREEWORTH BLVD
METROHEALTH BRECKSVILLE HEALTH AND SURGERY CENTER
BRECKSVILLE, OH 44141-2591
Billing Address
MetroHealth Medical Center
2500 MetroHealth Drive
Cleveland, OH 44109-1900
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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