340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH390201A POCONO MEDICAL CENTER (Terminated)
Print
Main Details
Name
POCONO MEDICAL CENTER
Subdivision Name
Mountain Healthcare Radiology – Lab - Lab - 7010
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390201A
Medicare Provider Number
390201
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/23/2018
Last Recertification Date
8/20/2019
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Lehigh Valley Health Network
Thomas Marchozzi, Executive Vice President & Chief Financial Officer
(484) 862-3943
Primary Contact
Lehigh Valley Health Network
Stephen Patrick Molitoris, Vice President
(484) 884-0974
Addresses
Street Address
100 Community Boulevard
102
Tobyhanna, PA 18466
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session