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RRC360027-36 AKRON GENERAL MEDICAL CENTER (Terminated)
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Main Details
Name
AKRON GENERAL MEDICAL CENTER
Subdivision Name
Akron General Medical Center POB - HEMATOLOGY/ONCOLOGY - HEMATOLOGY - POB
Type
Rural Referral Center
Rural
Yes
340B ID
RRC360027-36
Medicare Provider Number
360027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/10/2020
Last Recertification Date
Termination Date
Termination Reason
7/1/2021
Change of covered entity type
Contacts
Authorizing Official
Akron General Medical Center
Brian Harte, President
(330) 344-6548
Primary Contact
Cleveland Clinic
Jonathan Williams, Senior Director of Pharmacy - 340B
(216) 444-8884
Addresses
Street Address
224 W EXCHANGE ST
160
AKRON, OH 44302
Billing Address
Cleveland Clinic
6801 Brecksville Road
Mail Code: RK1-25
Suite 20
Independence, OH 44131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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