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RRC390100-34 LANCASTER GENERAL HOSPITAL (Terminated)
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Main Details
Name
LANCASTER GENERAL HOSPITAL
Subdivision Name
Lancaster General Health Parkesburg - Diabetes/Nutrition
Type
Rural Referral Center
Rural
Yes
340B ID
RRC390100-34
Medicare Provider Number
390100
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/29/2019
Last Recertification Date
8/17/2021
Termination Date
Termination Reason
10/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Lancaster General Hospital
Douglas Weldon Rinehart, Vice President & Controller
(717) 544-5398
Primary Contact
Lancaster General Hospital
Matthew W Eberts, Director of Pharmacy Services
(717) 544-7156
Addresses
Street Address
950 Octorara Trail
Parkesburg, PA 19365-2150
Billing Address
Lancaster General Hospital
Accounts Payable
555 North Duke Street, PO Box 3555
Lancaster, PA 17604-3555
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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