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DSH390006BU GEISINGER MEDICAL CENTER (Active)
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Main Details
Name
GEISINGER MEDICAL CENTER
Subdivision Name
Geisinger Shamokin Area Community Hospital - Respiratory Therapy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390006BU
Medicare Provider Number
390006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/10/2019
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Geisinger Health
Michael Anthony Evans, VP Pharmacy CPO
(570) 271-6192
Primary Contact
Geisinger Health
Lola Travelpiece, 340B Program Manager
(570) 214-1035
Addresses
Street Address
4200 Hospital Rd
Coal Township, PA 17866
Billing Address
Geisinger Medical Center
100 North Academy Ave
Danville, PA 17822-4201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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