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DSH360020BU SUMMA HEALTH SYSTEM (Active)
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Main Details
Name
SUMMA HEALTH SYSTEM
Subdivision Name
Intensive Outpatient Therapy - Intensive OP Therapy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360020BU
Medicare Provider Number
360020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/8/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/28/2018
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Summa Health
Thomas Clifford Deveny, President and CEO
(234) 312-5050
Primary Contact
Summa Health
John Feucht II, Vice President, Pharmacy Services
(330) 375-4397
Addresses
Street Address
45 Arch Street
Akron, OH 44304
Billing Address
Summa Health
1077 Gorge Blvd.
Akron, OH 44310
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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