340B Drug Pricing Program Database
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DSH360027 AKRON GENERAL MEDICAL CENTER (Terminated)
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Main Details
Name
AKRON GENERAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360027
Medicare Provider Number
360027
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2021
Participating Start Date
7/1/2021
Participating Approval Date
6/2/2021
Last Recertification Date
8/22/2023
Termination Date
Termination Reason
7/1/2024
Change of hospital entity type
Contacts
Authorizing Official
Akron General Medical Center
Brian Harte, President
(330) 344-6548
Primary Contact
Cleveland Clinic
Jonathan Williams, Senior Director of Pharmacy - 340B
(216) 444-8884
Addresses
Street Address
1 AKRON GENERAL AVE
AKRON, OH 44307
Billing Address
Cleveland Clinic
6801 Brecksville Road
Mail Code: RK1-25
Suite 20
Independence, OH 44131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 1/1/2018, Termination 7/1/2020, Reinstatement 7/1/2021
04/13/2021
April 2025
April 2025
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