340B Drug Pricing Program Database
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DSH360133AS Kettering Health Dayton (Active)
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Main Details
Name
Kettering Health Dayton
Subdivision Name
KCC Clinic 90.19 / KHDO Infusion Ctr KCC 2nd 323730
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360133AS
Medicare Provider Number
360133
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/6/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/8/2020
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Kettering Health
Harmat Beebe, Vice President Finance Multi-Hospital Campus
(937) 723-3414
Primary Contact
Kettering Health Network:Grandview/Kettering/Ft Hamilton/Sycamore/Soin
Linda McCall, Pharmacy Director
(937) 458-4946
Addresses
Street Address
3700 Southern Blvd
202
Kettering, OH 45429
Billing Address
Kettering Health A/P
1 Prestige Place
Miamisburg, OH 45342
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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