340B Drug Pricing Program Database
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DSH390030B Lehigh Valley Hospital - Schuylkill (Active)
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Main Details
Name
Lehigh Valley Hospital - Schuylkill
Subdivision Name
SKE MRI (62780)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390030B
Medicare Provider Number
390030
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2021
Participating Start Date
4/1/2021
Participating Approval Date
2/11/2021
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Lehigh Valley Health Network
Stephen Patrick Molitoris, Vice President
(484) 884-0974
Primary Contact
Lehigh Valley Hospital
Paul Mattern, 340B Program Manager
(610) 402-1007
Addresses
Street Address
Lehigh Valley Hospital - Schuylkill
700 East Norwegian Street
Pottsville, PA 17901
Billing Address
Lehigh Valey Hospital
700 East Norwegian Street
Pottsville, PA 17901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (10/1/2018) until terminated effective date: (4/1/2020), reinstatement effective date: (04/01/2021)
02/11/2021
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