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DSH390006BL GEISINGER MEDICAL CENTER (Terminated)
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Main Details
Name
GEISINGER MEDICAL CENTER
Subdivision Name
Peds Cardiology Acute Care Center Lows Rd - Peds Cardiology ACC Lows Rd
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390006BL
Medicare Provider Number
390006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/14/2019
Last Recertification Date
8/26/2019
Termination Date
Termination Reason
4/1/2020
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Geisinger
Thomas P. Sokola, Chief Administrative Officer
(570) 271-8892
Primary Contact
Geisinger Health
Timothy Guschel, 340B Program Director
(570) 214-0155
Addresses
Street Address
6850 Lows Rd
Bloomsburg, PA 17815
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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