340B Drug Pricing Program Database
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DSH390030AK Lehigh Valley Hospital - Schuylkill (Active)
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Main Details
Name
Lehigh Valley Hospital - Schuylkill
Subdivision Name
Lehigh Valley Hospital Schuylkill - East Norwegian Street - ICU
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH390030AK
Medicare Provider Number
390030
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2019
Participating Start Date
1/1/2020
Participating Approval Date
12/13/2019
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Lehigh Valley Health Network
Stephen Patrick Molitoris, Vice President
(484) 884-0974
Primary Contact
Lehigh Valley Hospital
Paul Mattern, 340B Program Manager
(610) 402-1007
Addresses
Street Address
700 East Norwegian Street
Pottsville, PA 17901
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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