340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH390270AX GEISINGER WYOMING VALLEY MED CTR (Active)
Print
Main Details
Name
GEISINGER WYOMING VALLEY MED CTR
Subdivision Name
XR Imaging Mt Pocono
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390270AX
Medicare Provider Number
390270
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/3/2018
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Geisinger Wyoming Valley Medical Center
Ron Beer, Chief Admiistrative Officer
(570) 808-5380
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
126 Market Way
Mt Pocono, PA 18344
Billing Address
Geisinger Wyoming Valley Medical Center
1000 East Mountain Blvd
Wilkes Barre, PA 18711
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