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DSH360236N CLERMONT MERCY HOSPITAL (Terminated)
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Main Details
Name
CLERMONT MERCY HOSPITAL
Subdivision Name
SPECIALIZED SERVICES UNIT - AMBULATORY CARE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360236N
Medicare Provider Number
360236
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/2/2018
Last Recertification Date
8/30/2021
Termination Date
Termination Reason
4/1/2022
Other
Contacts
Authorizing Official
Bon Secours Mercy Health
Emily Wagner, CFO, Mercy Health - Tiffin & Willard
(419) 455-7053
Primary Contact
Mercy Clermont Hospital
Tab Dehner, Director of Pharmacy
(513) 732-8670
Addresses
Street Address
3000 Hospital Drive
Batavia, OH 45103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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