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DSH390256BV MILTON S. HERSHEY MEDICAL CENTER (Active)
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Main Details
Name
MILTON S. HERSHEY MEDICAL CENTER
Subdivision Name
PENN STATE HERSHEY-LIME SPRINGS - Infusion
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390256BV
Medicare Provider Number
390256
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/5/2020
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Penn State Health
Tracy L Moyer, Senior Vice President of Financial Operations
(717) 531-8477
Primary Contact
Penn State Health
Samuel Wetherill, VP Pharmacy
(410) 920-4494
Addresses
Street Address
2221 NOLL DRIVE
1ST FLOOR
LANCASTER, PA 17603-7610
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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