340B Drug Pricing Program Database
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RRC390001-00 COMMUNITY MEDICAL CENTER (Active)
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Main Details
Name
COMMUNITY MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC390001-00
Medicare Provider Number
390001
Additional Details
Current Program Status
Active
Registration Date
10/10/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/27/2023
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Geisinger Wyoming Valley Medical Center
Ron Beer, Chief Admiistrative Officer
(570) 808-5380
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
1800 MULBERRY STREET
SCRANTON, PA 18510
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2019; Terminated 4/1/2022; Reinstated 1/1/2024.
11/27/2023
May 2025
May 2025
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