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DSH360068D THE TOLEDO HOSPITAL (Active)
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Main Details
Name
THE TOLEDO HOSPITAL
Subdivision Name
PARKWAY SURGERY CENTER - Outpatient Surgical Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360068D
Medicare Provider Number
360068
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/17/2022
Participating Start Date
1/1/2023
Participating Approval Date
12/1/2022
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
ProMedica
Andrew James Hageman, Finance Director
(567) 585-0990
Primary Contact
Promedica Health Systems
Devan Matthew Ribley, Lead 340B Analyst
(567) 585-0154
Addresses
Street Address
2120 W CENTRAL AVE
FL 2
TOLEDO, OH 43606-3834
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2018; Terminated 7/1/2021; Reinstated 1/1/2023.
11/22/2022
May 2025
May 2025
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