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CAH361325-13 GALION COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
GALION COMMUNITY HOSPITAL
Subdivision Name
Provider Based Clinic - (PBC 865) - Pediatric Therapy
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361325-13
Medicare Provider Number
361325
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/19/2018
Last Recertification Date
Termination Date
Termination Reason
10/1/2019
Never implemented the 340B Program
Contacts
Authorizing Official
Avita Health System
ERIC DRAIME, CHIEF FINANCIAL OFFICER
(419) 468-0501
Primary Contact
Avita Health System
Christina Barnes, Director of Pharmacy
(419) 468-0541
Addresses
Street Address
865 Harding Way West
Galion, OH 44833
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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