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RRC360070-11 CLEVELAND CLINIC MERCY HOSPITAL (Terminated)
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Main Details
Name
CLEVELAND CLINIC MERCY HOSPITAL
Subdivision Name
MERCY FAMILY MEDICAL CENTER OF ALLI - Primary Care
Type
Rural Referral Center
Rural
Yes
340B ID
RRC360070-11
Medicare Provider Number
360070
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/11/2020
Last Recertification Date
8/25/2023
Termination Date
Termination Reason
7/1/2024
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Cleveland Clinic Mercy Hospital
David Stewart, Senior Director of Operations II
(330) 489-1131
Primary Contact
Cleveland Clinic
Jonathan Williams, Senior Director of Pharmacy - 340B
(216) 444-8884
Addresses
Street Address
149E SIMPSON ST
ALLIANCE, OH 44601-4219
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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