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DSH360133AH GRANDVIEW HOSPITAL (Terminated)
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Main Details
Name
GRANDVIEW HOSPITAL
Subdivision Name
Recovery Room 51.00/Short Stay 386030 - infusion
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360133AH
Medicare Provider Number
360133
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/5/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/30/2018
Last Recertification Date
8/23/2019
Termination Date
Termination Reason
10/1/2020
Other
Contacts
Authorizing Official
Fort Hamilton Hospital/Grandview Medical Center/Southview Medical Center/Sycamore Medical Center
William E Villegas, Regional VP of Finance
(937) 723-3414
Primary Contact
Kettering Health Network:Grandview/Kettering/Ft Hamilton/Sycamore/Soin
Linda McCall, Pharmacy Director
(937) 458-4946
Addresses
Street Address
405 W. GRAND AVE.
DAYTON, OH 45405
Billing Address
Kettering Health Network A/P
1 Prestige Place
Miamisburg, OH 45342
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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