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DSH360039W GENESIS HEALTHCARE SYSTEM (Active)
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Main Details
Name
GENESIS HEALTHCARE SYSTEM
Subdivision Name
GENESIS INFECTIOUS DISEASE CLINIC - Infectious Disease
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360039W
Medicare Provider Number
360039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/8/2019
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Genesis Healthcare System
Michael Norman, Chief Financial Officer
(740) 454-4773
Primary Contact
Genesis Healthcare System
Shona Carr, Pharmacy 340b Manager
(740) 455-4900
Addresses
Street Address
945 BETHESDA DR
STE 110
ZANESVILLE, OH 43701-1880
Billing Address
Genesis Healthcare System
4051 Northpointe Drive
Building 7
Zanesville, OH 43701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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