340B Drug Pricing Program Database
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RRC390133-178 LEHIGH VALLEY HOSPITAL (Terminated)
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Main Details
Name
LEHIGH VALLEY HOSPITAL
Subdivision Name
LEHIGH VALLEY HOSPITAL - CC 1250 NEUROPSYCHOLOGY CLINIC
Type
Rural Referral Center
Rural
No
340B ID
RRC390133-178
Medicare Provider Number
390133
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/6/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/4/2021
Last Recertification Date
8/18/2021
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Lehigh Valley Health Network
Thomas Marchozzi, Executive Vice President & Chief Financial Officer
(484) 862-3943
Primary Contact
Lehigh Valley Health Network
Claude Laurence Parnell, 340B Program Manager
(610) 402-5522
Addresses
Street Address
1250 SOUTH CEDAR CREST BOULEVARD, SUITE 410
ALLENTOWN, PA 18103
Billing Address
LEHIGH VALEY HOSPITAL
2100 MACK BOULEVARD
ALLENTOWN, PA 18103
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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