340B Drug Pricing Program Database
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RRC360070-08 CLEVELAND CLINIC MERCY HOSPITAL (Active)
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Main Details
Name
CLEVELAND CLINIC MERCY HOSPITAL
Subdivision Name
MERCY HEALTH CENTER AND STATCARE OF - Urgent Care
Type
Rural Referral Center
Rural
Yes
340B ID
RRC360070-08
Medicare Provider Number
360070
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/11/2020
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Cleveland Clinic Mercy Hospital
David Stewart, Senior Director of Operations II
(330) 489-1131
Primary Contact
Cleveland Clinic
Michael Marchionda, Program Administrator, 340B
(216) 316-8583
Addresses
Street Address
7337 CARITAS CIRCLE N W
MASSILLON, OH 44646
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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