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RRC360027-28 AKRON GENERAL MEDICAL CENTER (Terminated)
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Main Details
Name
AKRON GENERAL MEDICAL CENTER
Subdivision Name
Akron General Health and Wellness Center, Green - NEUROLOGY - NEUROLOGY GREEN
Type
Rural Referral Center
Rural
Yes
340B ID
RRC360027-28
Medicare Provider Number
360027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/3/2024
Last Recertification Date
Termination Date
Termination Reason
10/1/2024
Hospital Outpatient facility no longer eligible
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
1940 TOWN PARK BLVD
130
UNIONTOWN, OH 44685
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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Participated starting 10/1/2020; Terminated 7/1/2021; Reinstated 7/1/2024.
06/03/2024
April 2025
April 2025
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