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DSH390256BF MILTON S. HERSHEY MEDICAL CENTER (Active)
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Main Details
Name
MILTON S. HERSHEY MEDICAL CENTER
Subdivision Name
Cancer Institute (Practice Site) - Office visits
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390256BF
Medicare Provider Number
390256
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/24/2018
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Penn State Health
Tracy L Moyer, Senior Vice President of Financial Operations
(717) 531-8477
Primary Contact
Penn State Health
Samuel Wetherill, VP Pharmacy
(410) 920-4494
Addresses
Street Address
400 University Drive
Hershey, PA 17033
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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