340B Drug Pricing Program Database
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DSH390006BH GEISINGER MEDICAL CENTER (Terminated)
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Main Details
Name
GEISINGER MEDICAL CENTER
Subdivision Name
GMC Selinsgrove Cat Scan - GMC Selinsgrove Cat Scan
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390006BH
Medicare Provider Number
390006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/6/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/3/2018
Last Recertification Date
8/18/2021
Termination Date
Termination Reason
10/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Geisinger Medical Center
Megan M Brosious, Chief Administrative Officer
(570) 271-8892
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
620 University Ave
Selinsgrove, PA 17870
Billing Address
Geisinger Medical Center
100 North Academy Ave
Danville, PA 17822-1542
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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