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DSH360211A TRINITY HOSPITAL HOLDING COMPANY (Active)
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Main Details
Name
TRINITY HOSPITAL HOLDING COMPANY
Subdivision Name
Cancer Center - Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360211A
Medicare Provider Number
360211
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2022
Participating Start Date
1/1/2023
Participating Approval Date
12/12/2022
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Trinity Health System
Dave Werkin, CFO
(740) 264-8695
Primary Contact
Trinity Health System
Jennifer Davis, System Director of Pharmacy
(740) 264-8663
Addresses
Street Address
3204 Johnson Road
Steubenville, OH 43952
Billing Address
Trinity Health
4000 Johnson Road
Steubenville, OH 43952
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (4/1/2018) until terminated effective date: ( 01/01/2019), reinstatement effective date: (01/01/2023)
12/12/2022
May 2025
May 2025
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